HomeMy WebLinkAbout2013- April File Copy
•
Jefferson County :m
Board-of Health
Agenda
Jvl inutes
•
AyriC18, 2013
•
• JEFFERSON COUNTY BOARD OF HEALTH
April 18, 2013
Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA
2:30—4:30 PM
DRAFT AGENDA
I. Approval of Agenda
II. Approval of Minutes of March 21, 2013 Board of Health Meeting
III. Old Business and Informational Items
1. Healthcare Preparedness Network Newsletter
2. Hazardous Waste and Toxics Reduction Program
3. Early Learning Regional Coalition Funding
• 4. Board of Health Correspondence
IV. New Business
1. AmeriCorps Volunteer School Based Health Clinic Report
2. EnviroStars Recipient
3. 2012 Performance Measures Reports: Communicable Disease, Population&
Prevention, Family Health Services, and Targeted Clinical Health Services
4. End of Year Public Records Report
5. Oral Health Access: SmileMobile and ABCD Implementation Clallam/Jefferson
Counties
6. Electronic Medical Record and Permit Plan Infrastructure Issues
7. Legislative Update
V. Activity Update
VI. Public Comments
VII. Agenda Planning Calendar
VIII. Next Scheduled Meeting: May 16, 2013
2:30—4:30 PM
III Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA 98368
4.
• JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, March 21, 2013
Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA 98368
Board Members Staff Members
Phil Johnson, County Commissioner District#1 Thomas Locke,MD,MPH Health Officer
David Sullivan, Vice Chair, County Commissioner,District#2 Jean Baldwin,Public Health Services Director
John Austin, County Commissioner,District#3 Julia Danskin,Nursing Services Director
Roberta Frissell, Citizen at large(County) Jared Keefer,Environmental Health Services Director
Catharine Robinson,Port Townsend City Council
Sheila Westerman, Citizen at large(City)
Jill Buhler,Chair,Hospital Commissioner,District#2
Chair Buhler called the meeting of the JeffersoitGunty Board of Health to order at 2:30 P.M. A
quorum was present. µ
1
Members Present: Jill Buhler, Davids Sullivan, John Ai tin,Roberta Frissell, Sheila Westerman,
�
Catharine Robinson
Staff Present: Dr. Thomas Locke, Jean jdwrr5 bared Keefer.Veronica Shaw
•
'''"s ` tit�x.
Members Excused: PhiL�,: pn ��
1% 'PROVAL O `'AGENDA
Jean Baldwin suggested a discussioW Dr. Locke's new contract and a discussion of a
letter received from Burt Loomis be added under new business. Member Frissell suggested
adding a letter of appreciation be sent to Mary Selecky under new business. Member
Austin suggested adding a State Board of Health update under old business. Member
Austin moved to approve the agenda as amended. Member Frissell seconded the motion.
The motion passed unanimously.
APPROVAL OF MINUTES
Member Austin moved to approve the minutes of the January 17, 2013 BOH meeting.
Member Frissell seconded the motion. The motion passed unanimously.
OLD BUSINESS and INFORMATIONAL ITEMS
Letters to Legislators: Medicaid Administrative Match and Battery Recycling
Ms. Baldwin announced she sent a letter to the state legislators asking for their support in
Governor Inslee's appeal to Patty Murray and Maria Cantwell to ask the Centers for Medicare
IP and Medicaid Services (CMS) at a federal level to treat Washington the same as other states in
regard to the Medicaid Administrative Match(MAM). A copy of the letter was included in the
1 BOH Minutes—March 21,2013
4
agenda packet. The effect of the CMS decision to change the MAM program resulted in a •
statewide reduction of almost $8.5 million annually to support public health activities. The
impact to Jefferson County will be $58,000 in 2013. Ms. Baldwin suggested the same letter be
sent from the Board.
Member Robinson moved to send a letter from the Board to Washington State Senators
with a copy to the Governor. Member Austin seconded the motion. The motion passed
unanimously.
Jared Keefer addressed the copy of a letter included in the agendapacket which he sent to
Representative Van De Wege in January. The letter, regardin battery recycling program, is
to ensure that Washington State has an effective recycling pW am for small rechargeable
batteries that is convenient, environmentally sound and financed fairly.
Governor Inslee Appoints New Secretary of Health
Dr. Locke announced Governor Inslee has appointed John Wiesman as the new Washington
Secretary of Health. Mr. Wiesman will be replacing Mary Slky who has announced her
retirement. a •
Member Frissell moved for the Board to send a letter a44preciation to Mary Selecky for
her 15 years of service,which will be signed by the BOH 01tir. Member Austin seconded
the motion. The motion passed unanimously. •
„;„„sow,„, ^s:'x� ,�1'.R'-Sv,*. 4
Implementation of F al B lget Segue ,. Stag acts
Dr. Locke discussed theO timony Mary Selecky ecretary of Washington State Department of
Health, gave to Congress regarding th , et cutown as the Sequester. A copy was
included in the agenda packet Dr. Locke` a ted of that in Ms. Selecky's testimony she is
speaking on behalf of the Board of Directors fat,Association of State and Territorial Health
Officials. She reviewed the national impacts of the budget cuts and then used as an example of
what is going on in Washington State Theimpact of these funding reductions at the federal,
state and local levels will significantly imct public health's ability to protect the nation's
health.
Healthcare Preparedness Network,2011-2012 Annual Report
Dr. Locke discussed the role of the Healthcare Preparedness Network which is comprised of four
local coalitions representing Kitsap,Jefferson, East Clallam and West Olympic Peninsula. The
Network's mission is to support and strengthen the ability of community healthcare providers in
Region 2 to respond to healthcare needs in emergency situations.
Update on the State Board of Health
Member Austin updated the Board on a presentation of the Health Benefit Exchange from the •
State Board of Health. He announced people will begin receiving services in 2014.
2 BOH Minutes—March 21,2013
• Member Austin also distributed a graph which showed the positive effect of the work done on
youth smoking, including the significant decreased rate of smoking in 12th graders.
NEW BUSINESS
2012 Environmental Health Performance Measures and Year End Reports
Jared Keefer, Environmental Health Director, updated the Board on the on-site sewage classes.
He stated there have been nine classes for homeowners held,with 237 participants. He also gave
a brief overview for each department of Environmental Health's Performance Measures and
Year End Reports for 2012.
"
Mr. Keefer first discussed the On-Site Sewage an ptic Operati*MMonitoring Programs.
He noted that there was an error in the final no` s for the number oworkshop participants in
2012 (it should have been 220, not 2203). Therewere 107 systems foundthat JCPH did not
previously know about, which shows that the work they are doing is helping'. It also showed an
increase in the number of permit applications received,rand they continue to increase in 2013.
To present the facts more clearly, Member Westerman askedMr. Keefer to find a different way
to label the categories for percent of monitoring inspections resulting in some maintenance
needed, required significant maintenance or repair, and percent of failures/major maintenance.
• Next Mr. Keefer addressed the Solid Waste and Hazardous Waste Programs. The number of
complaints and violations are down significait1y addition, a new category was added for
education and outreach activities to show how iy contacts are being made to the public.
Activity in hazardous waste increased in 2012
S q5 a^*nye F
y �
Thirdly," t*toy " an overview of tiTel9od gafty Program. The performance measures
show aid over the`163vo yearf food worker education shifting from in-person training to
online trying. They are‘SO,,seeidat,increase in food safety violations. The performance
measures Showed an increas`e°,,n food diilishment permits. Finally he pointed out that the data
for 2011-2012 in the category 4`number of routine inspections completed, routine,pre-open,
re-inspections" is blank. This is because each one of those items was separated out and reported
on individually starting in 2011.
Mr. Keefer pointed out that the Drinking Water Program performance measures do not have a
plan for 2012 because the program did not do them that year. The final numbers for 2012 show a
significant drop in well starts and an increase in well decommissioning.
The final performance measures Mr. Keefer discussed was the Water Quality Division. He
explained the changes in the miles of shoreline surveyed for pollution. There was a drop in 2012
because they focused on Mats Mats Bay due to high levels of fecal bacteria detected. Secondly,
they anticipated a large increase in 2012 for sanitary surveys and exceeded what was projected.
S
3 BOH Minutes—March 21,2013
Mr. Keefer thanked the Environmental Health staff for their hard work in 2012 which resulted in .
several accomplishments in Environmental Health and Water Quality. Mr. Keefer stated there
were 57 notable accomplishments, some were routine but many of which went beyond routine.
He gave an overview of several of the accomplishments from nine different programs. A copy
of the accomplishments was included in the agenda packet.
National Public Health Week,April 1-7, 2013
Ms. Baldwin announced National Public Health week is the first week of April, and since there
was no February BOH meeting there was no nomination process. The theme of this year's
National Public Health Week is"Public Health is ROI (Returiip Investment): Save Lives, Save
Money". Ms. Baldwin stated that rather than nominating ctrunity people for public health
hero awards this year, she has asked JCPH staff for on iAih,tipress releases demonstrating
how their work is a ROI. '`'
Resolution Supporting Stable Funding for 'FOOdational Public HeAlth Services
Ms. Baldwin announced the Washington Associa ; ;sof Coubs has asked'e ph county to
encourage the State to maintain the current level ofpublic hear stem in the
2013-15 biennial budget. Therroposed resolution waled in the agenda pdcket. Member
Austin would like to see the 3r "Whe� panded totie it in to the McLeary decision and
emphasize the importance of children sk entaly physicai health" in connection with their
ability to learn, and the State's responsibility to meet the mandate to fund education. Member
Robinson suggested under the heading"Now, Therefore, Be It Resolved" adding at the end of
the sentence "and look for other stable sourcaf tiding for all aspects of State government."
bx 'b
Member Austin moved for Chair Buhler to sign the resolution with the aforementioned
changes. Member Frissell seconded the. lotion. The motion passed unanimously.
Jefferson,County Syringe Exchange Prograwnual Report 2012
Ms. Baldwin stated JCPH has lost their State funding for the Syringe Exchange Program, but it is
not an expensive program to run and it rea `hes a targeted group that are otherwise difficult to
reach and build trust with. The graphs included in the agenda packet show that the percent of
single syringe use has,gone up from 49%in 2011 to 64%in 2012. They have continued to do
free HIV testing and have State and Federal programs for Hepatitis C testing and free
Hepatitis A&B vaccine AV
Port Townsend Municipal Water System Update
Dr. Locke discussed a letter included in the agenda packet which was sent to healthcare
providers and assisted living facilities in Port Townsend regarding maintenance work on City
Lake. The letter addresses the work being done. It also discusses the possibility of a high
turbidity event occurring necessitating a Boil Water Advisory and the proper steps to take should
this occur.
4 BOH Minutes—March 21,2013
I.
111 2013 Washington State Food Safety Code Revisions
Mr. Keefer gave a briefing on the Washington State Food Rule changes for 2013 which were
included in the agenda packet. Some of the items included in the change were: the hot holding
temperature went down from 140 to 135, cut leafy greens and cut tomatoes were added to
potentially hazardous foods, egg pooling is now allowed as long as the eggs are cooked
immediately and to a temperature of 155,running water has to be used to wash produce, service
animals have been defined as dog (or a miniature horse)that are trained to perform a task for a
person with a disability, cottage foods are allowed under some circumstances, children cannot be
served raw or under cooked foods, and preschools are now allowed to use a residential kitchen.
Jefferson County Public Health Infrastructure: Perm &I 1 and Electronic Medical
Records System
exsv'y4
Ms. Baldwin announced this agenda item will ben red to the April BpH meeting.
Discussion of Dr. Locke's contract z�M .
Ms. Baldwin announced that after a dear of discuss acv ,gbtiations Jeffe i*County Public
Health and Clallam County Health. �uman ServicllOre unable to come to an agreement� 4 �� ``Qicer services. Clallam Countywas
over continuing the Interlocal Agreeitin� �rdmg healf�,��
asking that a 29% indirect charge be * ded`tt ;ie hourly��for Dr. Locke's services. This
could not be reconciled with the way JG1',H cha . contraatr indirect expenses. JCPH is
proposing to resume hiring Dr. Locke as'IgVart tir son minty employee and pay his
hourly rate plus the percentage of his wag ,,tl e : would normally contribute for
retirement. `
Member Austin moved to renew Dr. Locke's contract at his Clallam County hourly rate,
plus an additional retirement contribution. This will include county risk pool coverage and
continue his employment as the appointed Jefferson County health officer. Member
Westerman seconded themotion. The motion passed unanimously.
Letter from Mr. Burt Loomis <;
Mr. Keefer addressed a letter received by JCPH from Mr. Burt Loomis regarding contaminated
property in Port Ludlow, which includes a drinking water well that is being utilized. It is
currently with the Department of Ecology for site hazard assessment and clean up and State
Department of Health to deal with the drinking water issue. They have recommended that DCD
or DRD get in touch with the two entities to get the background history and figure out whether or
not Mr. Loomis's recommendation should be carried forward through their determination. Ms.
Baldwin stated this will become an issue at which point Port Ludlow wants to do an expansion.
ACTIVITY UPDATE
None
5 BOH Minutes—March 21,2013
PUBLIC COMMENT •
None
AGENDA PLANNING CALENDAR
Chair Buhler stated the list of dates for the Jefferson County BOH 2013 meetings is included in
the agenda packet.
Next Board of Health meeting will be held on April 18, 2013 from 2:30—4:30 pm at Jefferson
County Public Health, 615 Sheridan St., Port Townsend, WA 98368
ADJOURNMENT
Chair Buhler adjourned the BOH meeting at 4:30pm.
$y
JEFFERSON COUNTY BOARD O , " 'fHk ti
w "
" `" ° ""' man Vice Chair
Jill Buhler, Chair �.��," a" III
� '`�.� �;���4 .,ex avid „��,��yy ,
"y z :$ v,�: " "" Excused
Roberta Frissell, Member "`',* � """. � bil Johnson, Member
"
""
Catharine Robinson, Member John Austin, Member
Sheila Westerman, Member
Respectfully Submitted:
Stacie Reid
al
6 BOH Minutes—March 21,2013
•
Board of.9'feaCth
Old Business &
InformationaCltems
Agenda Item #III., 1
.�fea�thcare Preparedness
Nettivor( News fetter
April 18, 2013
•
1 .,`moi x -tea
,efferson LTH CA rE 0 R K
�� ���
H EA
VBewail
news from the Region 2 Healthcare Preparedness Network.
Spring 2013
Network Welcome to our First Edition! The Region 2 Healthcare Preparedness
Representatives Network is made up of representatives from the four Healthcare Coalitions in the
Jefferson region.The coalition memberships include:hospitals,clinics,public health,Red Cross,
Healthcare Coalition emergency management.,long term care,emergency medical services,tribes,and
Julia Danskin, amateur radio.The articles in this edition of our new newsletter highlight
Jefferson County Public Health preparedness activities that healthcare coalition partners initiate and coordinate.The
Kelly O'Connell,
Jefferson Healthcare activities range from:a program to help clinics prepare to stand-up as triage and
Nancy McDaniel, treatment centers;ongoing long term care preparedness efforts;and a program to help
Jefferson Emergency Mgmt. vulnerable populations in the community better care for themselves in a disaster.
East Clallam
Healthcare Coalition Clallam County: Long Term Jefferson County: Special
Julie Sell,
Olympic Medical Center Care Preparedness Help for Special Needs
Kathy Burrer,
Dungeoness Courte Power outages and snow storms are A Jefferson County partnership between
Christina Hurst, dress rehearsals,Shirley Williams told member agencies of the Jefferson County
Clallam Health&Human Services Clallam long term care facilities at their Healthcare Coalition has helped close to
West Olympic annual preparedness meeting in 100 Jefferson residents prepare to take
Preparedness Coalition February.She advised them to start -,,. I" n
Andrew wince, documenting things—what residents hi x _,
Macah Tribe ,� l
Patricia Hutson, needs are,safety plans,medications,out ,-,71''''-:; ° zi 7;
Clallam Bay Fire District#5 of area contacts,if they have a hearing ' i ', `'
Rebecca Wilson, aid.Shirley had just returned from New h
Forks Community Hospital Jersey where,as a Red Cross volunteer,
Jam ye Wisecup _
Clallam Emergency Mgmt she assisted Hurricane Sandy victims. °�
The Clallam facilities have been 1
Kitsap meeting annually to talk preparedness ;..
Healthcare Coalition t
Laura lull, for the last 5 years.Topics have included
Harrison Medical Center MOUs,water purifiers,home health, 'w ,ra• • gd%recipien s
Zeno Kinne, housing,fire starters,and more.Kathy
Peninsula Community Health Burrer, a member of the East Clallam care of themselves in a disaster.Program
Mary Kerdus
Olympic College Healthcare Coalition,began coordinating participants received"grab and go"
Terry Lerma the meetings after she met with Penny packs with emergency supplies and
Navy Hospital Linterman,Clallam County Emergency special training in how to use the
About the Region 2 Management,to go over a safety plan for supplies in an emergency.
Healthcare Network News Kathy's facility,the Dungeness Courte Anna McEnery,Jefferson County
The purpose of the Region 2 Alzheimers Community.Kathy is also is Public Health,initiated the program in
Healthcare Preparedness a member of Region 2 Network and is collaboration with Bob Hamlin,Jefferson
Network Newsletter is to: the Executive Director of Dungeoness Emergency Management,and Dennis
strengthen communications
among healthcare Courte. Crawford,volunteer with Emergency
organizations in Kitsap, That first meeting between Kathy and Management.Shirley Williams,a Red
0 Clallam and Jefferson Penny was the beginning of a"beautiful Cross nurse,helped design and teach the
Counties so they may better
friendship"between Clallam County classes.Anna's useful websites include:
support the ability of
community healthcare long term care facilities,emergency www.apchoolkits.com/
providers in the region to management, Olympic Medical Center, vulnerablelpopulation;
respond to healthcare needsRed Cross and others. www.cardcanhelp.org;www.ready.gov
in emergency situations.
Region 2 Healthcare DATES TO REMEMBER
•Network News Training
Triage and Treatment Train the trainer sessions:
Distributed by: Kitsap—April 23,2013
Region 2 Public Health Forks—May 13,2013
Kitsap Public Health District Alternative Care Facilities,Bremerton—June 5,2013
345 6th St.,Suite 300
Bremerton,WA 98337 Evacuation/Shelter-in-Place,Port Angles—June 5,2013
Phone:360-337-5752 COOP training,Port Angeles—September 10&11,2013
Fax:360-475-9844 Coalition meeting dates:
ruth.westergaa lth. East Clallam Healthcare Coalition,TBA
kitsappublichealth.org West Olympic Peninsula Preparedness Coalition—May 13,2013
Newsletter Editorial Group Jefferson Healthcare Coaltion/JPREP,TBA
Ruth Westergaard, Kitsap Healthcare Coalition—May 23,2013
Kitsap Public Health District Region 2 Healthcare Preparedness Network—June 21,2013
Kelly O'Connell,
Jefferson Healthcare Exercises and Conferences
Laura lull, Region 2 Muddy Waters Online Exercise—April 19,2013
Harrison Medical Center WSHA Diaster Readiness Conference—May 29-30,2013
lefferso17Questions about the Network or one of the Local Coalitions?
` Region 2 Healthcare Preparedness Network—jessica.guidry(a�kitsappublichealth.org
ij �, Kitsap Healthcare Coalition—Laura.Jull@harrisonmedical.org
a6e i:losi t Jefferson Healthcare Coalition—idanskin@co.iefferson.wa.us
East Clallam Healthcare Coalition—jsellPolympicmedical.org
West Olympic Preparedness Coalition—cclallam@centurytei.net
Kitsap County: Disaster - I 1 f I I COOP: Success for
6
v. � � �- �� the Region
Ready Clinics , ., ° ,
Reviews were solidly
"Standard procedures,protocol. .. All �`
' _ positive for the Continuity
that will go out the window as our staff ,i �''
�t �N
to save lives;'a participant in a I _ - - _ of Operations(COOP)
try p p _ training sponsored by the
Virginia Mason Medical Center likommodore students posing as patients for drill Region 2 Healthcare
(VMMC) drill said after the Bainbridge Preparedness Network in
Island clinic practiced what they Deb McCrae,who coordinated the February 2013.
learned in a pilot program to train VMMC drill,is also a former Navy Nearly 50 people from
Region 2 clinics to be disaster triage EMT.She initiated the pilot training
because her first hand experience with Region 2 and Western
and treatment centers.Clinic staff also Washington attended the
said they"needed more of these drills delivering emergency medical aid made
her appreciate the value of being able to two-day training.The
to feel better trained. curriculum and instruction
Since the VMMC pilot,a workgroup transition quickly from set
Fere a collaborative effort
appointments and expected patient
has streamlined the training to be needs to the fast paced and quick by FEMA and the
delivered to clinics in five modules. University of Maryland
The workgroup members included decision making required of first Center for Health&
Kitsap Coalition participants: Deb responders.
The five triage and treatment center Homeland Security.
McCrae,VMMC;Laura Jull,Harrison The training will be
Medical Center;Mary Kerdus,Olympic training modules cover:basic personal
preparedness,triage,incident command back by popular demand
College;Zena Kenne,Peninsula in September in Clallam
Community Health Services;Phyllis system,patient moving and lifting and County. IIII
Mann,Kitsap Emergency disaster mental health.The final product See the calendar of events
Management;and Jessica Guidry and will begin launching in March. for details.
See the calendar of events for Triage&
Ruth Westergaard,Kitsap Public
Health District. Treatment Center"train-the-trainer"sessions.
•
Board of 3fealth
Old Business &
Informationalltems
.agenda Item # III., 2
• 3fazarcfous "Waste
And 7"oxics Reduction Program
.April 18, 2013
•
/
DEPARTMENT OF
Focus on Dangerous Waste and ECO LOGY
Pollution Prevention State of Washington
• Hazardous Waste and Toxics Reduction Program February 2013
Local Source Control Why It Matters
Partnership An estimated 65,000 small businesses
in Washington each produce less than
2,640 pounds of dangerous waste per
State and Local Governments Work Together year. However, their combined amount
of dangerous waste, estimated at 65
The Local Source Control (LSC)Partnership is part of a million pounds annually, can pose a risk
comprehensive effort to improve water quality in significant to human health and the environment if
urban water bodies in Washington State. The program's not handled safely.
unique approach relies on problem-solving at the local level. Through the LSC Partnership, state and
local governments provide assistance to
The partnership between the Department of Ecology(Ecology) these small businesses free of charge.
and local governments throughout Puget Sound and the Reducing the amount of hazardous
Spokane area started in 2008. LSC Specialists began visiting ectances used in their processes can
effectively reduce the amount of
small businesses to provide on-site technical assistance. There dangerous waste they generate. Doing
are currently 38 specialists working in 25 local jurisdictions, so improves worker safety and often
who have made more than 10,000 visits to businesses since the saves the businesses money.
program's inception. LSC Specialists*also advise on how to
prevent spills and avoid stormwater
• contamination. Rainwater carries spilled
LSC Specialists Assist Small Businesses substances into storm drains that flow
The LSC Partnershipfocuses on small businesses with the into streams, lakes, rivers, and Puget
� Sound. LSC Specialists provide
potential to generate dangerous wastesl. Typically, small recommendations on how to prevent
businesses have limited access to expertise on safe handling these spills and protect our waterways
and disposal of dangerous wastes. That's where LSC from polluted runoff.
Specialists can help. They provide technical assistance to
owners and managers to improve their business practices For more information visit:
involving dangerous wastes, stormwater, solid waste, and spill ex.html y.wa.gov/programs/hwtr/Isp/ind
tml
prevention.
Contact Information
LSC Specialists identify options for reduction,reuse,proper Washington Department of Ecology
disposal, and elimination of hazardous materials from business Julia McHugh, 360-407-6850
operations. LSC Specialists review business practices, and 1mch461(a)ecy.wa.gov
offer alternatives to the hazardous materials used, stored, and Special Accommodations
disposed by each business. This work helps prevent pollution. If you need a format for the visually
The site visits are voluntary, and there is no charge to the impaired, call 360-407-6700. Persons
business. with hearing loss, call 711. Persons
with a speech disability, call 877-833-
6341.
*http://www.ecy.wa.gov/programs/hwtr/
IsD/Drocon.html
• ' Washington law uses the term dangerous waste,and includes some wastes that are not included in the federal definition.
Federal law uses the term hazardous waste.
Publication Number: 13-04-002 1 February 2013
Hazardous Waste and Toxics Reduction Program February 2013
Improved Business Practices Help the Environment and the Econom •
Y
This one-to-one approach improves both our state's urban water quality and the bottom line of each
business. By reducing the use of toxic chemicals and producing less dangerous waste,businesses can avoid
the costs of disposal and potential cleanup.
The economic vitality of the state's estimated 65,000 small businesses is critical to Washington's economy.
Businesses depend on clean water. Individual businesses can contribute to cleaner urban water by improving
business practices and preventing stormwater contamination.
On-site Assistance Gets Results
The LSC Partnership demonstrates that on-site education achieves results,as shown in these recent examples:
• LSC Specialists provided technical support to six dental offices and two veterinary hospitals in Kitsap
County. The dentists and veterinarians adopted recommended practices to properly dispose of spent x-ray
fixer,lead foil packets,and dental amalgam,which are dangerous waste. For instance,one dental office
installed an amalgam separator to eliminate discharges of mercury-containing waste to the sanitary sewer
system. The veterinary hospitals converted to digital imaging,which eliminated silver and lead from their
x-ray wastes.
• A marine business in Kitsap County had unlabeled drums of chemicals stored outside, and didn't have
tools on hand in case something spilled. An LSC Specialist advised the business, and helped workers
move the drums inside and label them correctly. They also developed a plan for cleaning up any future •
spills.The business was rewarded with a no-charge spill kit.
• An auto-scrapping business in the Duwamish industrial area in Seattle saved money and protected Puget
Sound by moving auto parts,batteries,and other materials under cover. Left out in the rain,those items
could collect water and possibly produce contaminated runoff. The LSC Specialist showed the business
that many of the items were valuable and could be recycled instead of stockpiled.
Ecology Supports the LSC Partnership
Ecology provides direct support and program coordination for the specialists through coordination and
training. Staff provide information about industry sectors and waste management issues. They manage
data to analyze waste management trends and to anticipate small business education and assistance needs
and trends.
The LSC Partnership is managed by Ecology's Hazardous Waste and Toxics Reduction (HWTR)
Program. The partnership is an important element in the effort to ensure safe handling of dangerous waste
and preventing pollution. For more information about these aspects of the HWTR Program,refer to
Enforcing Dangerous Waste Rules Prevents Pollution and Ecology Services Add Value to Business3. For
more information on the LSC Partnership, including the most current list of LSC Specialists,please visit
www.ecy.wa.gov/programs/hwtr/lsp/index.html.
2 https://fortress.wa.gov/ecy/publications/SummaryPages/1004029.html •
3 https://fortress.wa.gov/ecy/publications/SummaryPages/1104023.html
Publication Number: 13-04-002 2 *„ Please reuse and recycle
Hazardous Waste and Toxics Reduction Program February 2013
• Attachment
Local Source Control Specialists-updated 01.07.13
Partner Jurisdiction Specialist Phone email
City of Bellingham Sylvia Graham 360-778-7961 slgraham@cob.org
Mindy Collins 360-778-7962 mcollins@cob.org
City of Bothell Tony Benson 425-486-2768 x4408 tony.benson@ci.bothell.wa.us
Clallam County Belinda Pero 360-417-2334 bpero@co.clallam.wa.us
City of Everett Jack Harris 425-257-8988 jharris@ci.everett.wa.us
Donna Gleisner 425-923-7110 dgleisnw@frontier.com
City of Issaquah Dana Zlateff 425-837-3418 danaz@ci.issaquah.wa.us
Jefferson County Public Health Christy Fiedler 360-344-9303 cfiedler@co.jefferson.wa.us
King County Water&Land Dale Nelson 206-296-1953 dale.nelson@kingcounty.gov
Kitsap Public Health District Bryan McKinnon 360-337-5604 bryan.mckinnon@kitsappublichealth.org
Richard Bazzell 360-337-5608 richard.bazzell@kitsappublichealth.org
Kitsap County Public Works Geri Fowler 360-307-4321 gfowler@co.kitsap.wa.us
City of Marysville Shane Freeman 360-363-8128 sfreeman@marysvillewa.gov
Matthew Eyer 360-363-8112 meyer@marysvillewa.gov
City of Newcastle Laura Frolich 425-640-4244 x111 lauraf@ci.newcastle.wa.us
City of Port Angeles David Freed 360-417-4845 dfreed@cityofpa.us
Port of Seattle Matt Prasek 425-451-7400 x116 mprasek@eaest.com
• (Consultant firm) Lynn Wood 425-451-7400 (wood@eaest.com
City of Puyallup Kendall Wals 253-770-3364 kwals@ci.puyallup.wa.us
City of Redmond Jacob Black 425-556-2212 -joblack@redmond.gov
Jessica Pfundt 425-556-2709 jnpfundt@redmond.gov
San Juan County Brian Rader 360-370-7581 brianr@co.san-juan.wa.us
Seattle Public Utilities Megan Wisdom 206-733-9002 -megan.wisdom@seattle.gov
Mike Jeffers 206-386-9085 michael.jeffers@seattle.gov
Bri Silbaugh 206-684-3693 bri.silbaugh@seattle.gov
Nathan Hart 206-684-5037 nathan.hart@seattle.gov
City of Sedro-Woolley Justin Bicknell 360-855-9931 jbicknell@ci.sedro-woolley.wa.us
City of Shoreline Carol Worthen 206-853-8814 cjworthen@comcast.net
Skagit County Public Health Polly Dubbel 360-419-3404 pollyd@co.skagit.wa.us
Lorna Parent 360-336-9380 lornap@co.skagit.wa.us
Corrina Marote 360-419-3403 corrinam@co.skagit.wa.us
Snohomish Health Dist Hasina Wong 425-339-5250 hwong@shd.snohomish.wa.gov
Anne Alfred 425-339-5250 aalfred@shd.snohomish.wa.gov
Spokane Regional Health Dist Sandy Phillips 509-324-1572 sphillips@spokanecounty.org
City of Sumner Kelsey Jensen 253-299-2708 x5708 kelseyj@ci.sumner.wa.us
Tacoma Pierce County Health Dept Jessie Finley 253-798-3832 jfinley@tpchd.org
Greg Tanbara(temp) 253-798-4784 gtanbara@tpchd.org
Whatcom County Health Dept. Ed Halasz 360-676-6724 x50814 ehalasz@co.whatcom.wa.us
•
Publication Number: 13-04-002 3 O1 Please reuse and recycle
Board of 3-Cealth
Old Business &
Informationalltems
.Agenda Item # 3
•
Early Learning Regional
Coalition Funding
ApriCi8, 2013
•
More than $850,000 Awarded to Support Community-Level Early Learning Efforts - Thrive By ... Page 1 of 3
• Contact Employment Invest in Our Future Grantee Portal
HOME ABOUT OUR ROLE OUR WORK FOR PARENTS NEWS
•
«C=o Back
More than $850,000 Awarded to Support Community- INSIDE THRIVE
About our btog
Level Early Learning Efforts Get the latest updates on Thrive's work to advance
February 19th,2013 by Thrive early learning in Washington state,including policy
developments.groundbreaking partnership efforts
• 2 and key accomplishments.READ MORE»
State's io Early Learning Regional Coalitions receive funds as part of
Community Momentum initiative Search
In its continued efforts to create a coordinated statewide early learning system,Thrive by Five
Washington recently awarded more than$850,000 to help regional early learning coalitions
implement strategies of the state Early Learning Plan in 2013.
Categories
The funds are divided among 10 Early Learning Regional Coalitions that cover the state.Each
submitted a proposal to develop its local capacity,leadership and expertise to implement the Birth to Thrive Online
Washington Kindergarten Inventory of Developing Skills(WaKIDS), the state's kindergarten
Inside Thrive Online
assessment tool,and engage parents through the"Love.Talk.Play."campaign,which Inside for Life
supports parents as their children's first and most important teachers.The proposals also Learning
included Early Achievers,the state's quality rating and improvement system,as well as home News Releases
visiting and advocacy efforts. Newsletter Archive
Thrive in the News
The Community Momentum efforts inspires a"robust and strategic approach"to working
together,said Lorraine Olsen of the Olympic-Kitsap Peninsulas Early Learning Coalition.
'For example,in the WaKIDS Early Learning Collaboration,we are building new About Thrive by Five Washington
relationships with school districts and child care providers to effectively partner together to Created in 2006,Thrive by Five Washington the
help all children be ready for kindergarten and impact the opportunity gap,-Olsen.said."It is state'srenonprofit public-private partnership isfor
giving hope to remote and rural areas,to populations and tribal nations that are regionally
isolated and typically have limited access to services and resources and are rarely,if ever, early learning.Thrive mobilizes the statewide
commitment to early learning by raising public
asked what they need." awareness about the importance of early learning
Yolanda Esquivel of the Southeast Early Learning Coalition agreed that the Community for all children birth to age 5;identifying and
Momentum work opens the door to discussions that might not otherwise happen. driving proven programs,best practices and
promising models across the state;and
• "The Community Momentum award has really helped us bring authenticity to our early collaborating with early learning and K-12 partners
learning community that supports the work we do for families and children—and also to build an early learning system that helps
building community partnerships that we might not have,"Esquivel said."It also enables us families and caregivers give their children the best
to have important conversations with our neighboring communities and within our own start in school and life possible.
zommunity to identify strengths as well as areas that could be reinforced more when working
with children and families." Learn more
ii+L„-;,,ahufivewa or P/2013/02/19/more-than-850000-awarded-to-support-community-level-ear... 4/12/2013
More than $850,000 Awarded to Support Community-Level Early Learning Efforts -Thrive By ... Page 2 of 3
This is the third year in row that the coalitions have received funding from Thrive,in
partnership with the Department of Early Learning,to support their efforts.Thrive's funding For More Information •
to the coalitions has quadrupled since the first Community Momentum awards because state MollyO'Connor.Thrive byFive Washington
and private funders have increasingly realized the important role communities play in iO'or of Communications
Five
0
implementing the state Early Learning Plan.The Plan calls for creating a coordinated system
of services and supports that address the needs of young children and their families,
especially in communities of color that,historically,have been furthest away from 206-621-5562 email Molly O'Connor
opportunity.
"Our state's Early Learning Plan establishes the priorities and framework that guide this
work,"said Molly Boyajian,Thrive Policy&Community Partnerships Director."This funding Molly Boyajian,Thrive by Five Washington
is vital to enable the regional coalitions to do capacity-building work and establish–and in Director of Policy&Community Partnership:
some cases,strengthen–infrastructure to better serve families."
206-621-5567 email Molly Boyaiian
Each coalition is made up of a fiscal agent and representatives from the region's educational,
social and health organizations that serve families with young children.The fiscal agents and
governance structures vary by coalition.
Karma Hugo of the Northwest Early Learning Coalition said her group has a vision of being
the key early learning partner for school districts in our region.
"This award provides us with the opportunity to develop a collaborative framework for
collecting and analyzing community early learning data,including WaKTDS school readiness
data,"she said."We can use that data to inform professional development,partnership
opportunities and resources allocation in partnership with local school districts."
The Early Learning Regional Coalitions receiving the awards are:
• Central coalition(Kittitas,Grant and Yakima counties):$95,000
■ King County coalition:$92,500
• Northeast coalition(Adams,Ferry,Lincoln,Pend Oreille,Spokane,Stevens and
Whitman counties):$89,500 •
■ Northwest coalition(San Juan Island,Skagit,Snohomish and 1W'hatcom counties):
$93,324
• North Central coalition(Chelan,Douglas,Grant and Okanogan counties):$81,446
• Olympic-Kitsap Peninsulas coalition(Clallam,,Jefferson,Kitsap and Mason counties):
$92,150
✓ Pierce County coalition:$66,000
• Southeast coalition(Adams,Asotin,Benton,Columbia,Franklin,Garfield and Walla
Walla counties):$100,000
is Southwest coalition(Clark,Cowlitz,Klickitat,Pacific,Skamania,and Wahkiakum
counties):$76,178
■ West Central coalition(Grays Harbor,Lewis,Mason,Pacific and Thurston counties):
$65,000
Learn more
• About the Early Learning Regional Coalitions
is Earl'Learnin_Regional Coalition ma.
■ Contact details for each Early Learning Regional Coalition
d'ati.4e 2
• Posted in Inside'__._rhri\_e Bh,M1`ledia Roon1,News Releases
• NoCor nments
Leave a Reply
Name — ------
E-Mail(wwill not be published) •
Website
Comment
> .�_./i.t,,.;<,P>.,<,fil7PwxTa or u/2013/02/19/more-than-850000-awarded-to-support-community-level-ear... 4/12/2013
Board of Health •
Old Business &
Informational Items
.agenda item # III., 4
•
Board of Health
Correspondence
April 18, 2013
JEFF h;RSON COUNTY
BOARD OF HEALTH
ALTH
S
April , 3
Mary 18Seleck201y
Secretary of Health
Washington State Department of Health
P.O. Box 47890
Olympia, Washington 98504-7890
Dear Secretary Selecky,
I am writing on behalf of the Jefferson County Board of Health to thank and commend you for
your 15 years of extraordinary service to the people of Washington State. Your tenure as
Secretary of Health has spanned an unprecedented series of major historic and economic events
including the post-9/11 emphasis on emergency preparedness,the first influenza pandemic of the
21st century, and two major economic recessions. During this period Washington State's public
health system has changed irrevocably,for better and for worse. On the positive side we have
gained valuable skills in emergency preparedness and response and tested those skills in
response to a global influenza pandemic. We have built new partnership and increased our
public visibility as an essential governmental service. On the negative side,the financial sector
• collapse of 2008 has ushered in an era of budget austerity and public health workforce reduction
that is having a profound impact on our ability to carry out our mission of public health
protection and improvement. And this"new normal"of diminishing resources shows no sign of
changing in the foreseeable future.
Throughout these tumultuous times, you have remained a steadfast leader of your agency, an
articulate national spokesperson for the fundamental importance of a robust public health system,
and a fierce advocate for maintenance of funding for local health jurisdictions. And you have
managed to do all this with good humor,indefatigable energy, and an uncanny ability to fmd
common ground between elected officials,health care professionals, and your oftentimes
eccentric public health colleagues.
As members of a local board of health in rural Washington State, we are also deeply appreciative
of your commitment to community outreach and your willingness to travel the State in order to
meet,face to face,with board of health members, local health department employees, and
community groups. Your understanding of rural health issues,hard earned during your long
tenure in the Northeast Tri-Counties Health District,was especially welcome and helped the
unique needs of the 20% of Washington residents who make their homes in rural communities to
be heard in the meeting chambers of Olympia and beyond. Although it might have been far
more convenient for you to abandon your rural roots and move to an urban setting, you chose to
maintain your ties to the Colville community and continue to see that as your true home.
Board Members
Jill Buhler,Chair,Hospital District Commissioner,Phil Johnson, Vice-Chair,County Commissioner,District#1,
David Sullivan,County Commissioner, District#2,Vice Chair, John Austin, County Commissioner,District#3, Catharine Robinson. Port
Townsend City Council, Sheila Westerman,Citizen at large(City), Roberta Frissell,Citizen at large(County)
615 Sheridan• Castle Hill Center• Port Townsend•WA •98368
(360)385-9400
As one of the first Boards of Health in Washington State to take advantage of legislation
allowing expansion of board membership,our tenure as an expanded board has paralleled your •
remarkable career as Secretary of Health. We live in very challenging times—national health
reform, an ideologically gridlocked Congress, a growing list of threats to public health coupled
with a declining set of resources to deal with these threats. Struggling against long odds and
seemingly insurmountable challenges has always been challenge of public health professionals.
The true character of a public health leader is not the hand they are dealt but in how they have
played that hand. And you,Madame Secretary, have played your hand with a rare sense of
personal grace, selfless devotion, and visionary leadership that will be an enduring model for all
who follow you.
Again,thank you for your inspiring service in pursuit of the improvement and protection of the
health of the people of Washington State.
Sincerely,
Jill Buhler
Chair, Jefferson County Board of Health
•
Board Members
Jill Buhler,Chair,Hospital District Commissioner,Phil Johnson, Vice-Chair,County Commissioner,District#1,
David Sullivan,County Commissioner, District#2,Vice Chair, John Austin, County Commissioner,District#3, Catharine Robinson,Port
Townsend City Council, Sheila Westerman,Citizen at large(City), Roberta Frissell,Citizen at large(County)
•
615 Sheridan•Castle Hill Center• Port Townsend • WA • 98368
(360)385-9400
•
Board of Health
New Business
Agenda Item #117., 2
r
EnviroStars Recipient
Aprili8, 2013
•
44'4,,0, CpG '"
� ' JEFFERSON COUNTY PUBLIC HEALTH �, ;
•,:-• ,,
615 Sheridan Street • Port Townsend •Washington • 98368
'16'1111,,CO°SHI0TO• www.jeffersoncountypublichealth.org j typublichealth.org ENVIROSTARS
April 8, 2013
Jefferson County Board of Health
PO Box 1220
Port Townsend, WA 98368
Dear Board of Health Members:
Attached for your signature is an EnviroStars awards for Tyler Fordham, DDS (1233 W.
Sims Way, Port Townsend, WA). Dr. Fordham recently installed a mercury amalgam
separator which helps protect our water by filtering out mercury. He is currently
certified as a three-star EnviroStars business.
The EnviroStars Cooperative certifies businesses that are properly managing waste and
reducing it with a two to five star rating.
After signing the award, please return to:
•
Jefferson County Public Health
Pinky Feria Mingo
615 Sheridan Street
Port Townsend, WA 98368
Thank you for your continued support of the EnviroStars certification program!
S' cerely,
U ()
f (1\1
ij -
vhfu
Pinky Feria ingo
Environmental Health Specialist
GOOD FOR BUSINESS
GOOD FOR THE ENVIRONMENT `-GOOD FOR YOU t
0 ENVIROSTARS"
COMMUNITY HEALTH HEALTH
DEVELOPMENTAL DISABILITIES PUBLIC HEALTH ENVIRONW TERLQUALITY
MAIN: (360)385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360)385-9444
FAX: (360)385-9401 HEALTHIER COMMUNITY FAX: (360)379-4487
C4
< --K •
llEll :
•rig
. 1\;----K
e4
• '
: -4
\
Plifta \
8 IA
pea.,4 - '10-•-• 4-4 A
. . ,..
. ,.. ,,,„zzi,,,, ,,,:,,...;.• ,'-..•.,„;-:i;;.-:-.. . -.K
, ...„.,0er' —4.'• , ,. .414t1,-,-;:.
pie
4,.... ? ,,, -- ..!ft,,, •. o 4',
LS)
: .
11N,
•--lilt --"-'i.l.I • -,
1
' -
E 1110414 „-.. .),r . ...s ' A _ --,
14!
;--4
"Z3 • - : '-- , _
• .,.... .i.
e -.. ,.
.
. '
Zsa
< •:, 1111. , .
• IT' !
tz— till
....e,
,,.-. -'7-7•'' n... ,a ,
- ''''f-.,, 4 ) W 4
qb' l*::'
1 f .,14-,-.,..;,..
•
• ,,',..\., . -. '...,,..11"1" ...,10,
„ • .. ; .4 .,, 7 . „, N: .47a ,.I& iha
N-7 "'' ' •:Y. f:' '' t; -,''10 t'.. ', • .„,4, '',, , ,
- .-,#,,,
N_7 {111:41111) ::: d.• i
, i;
...
•fall P1111•111, '7,. til '' , f,,,,.. , , ,,,011 4.k.
'. : Zia •
<:' Plt■siii
ti) Z. '''-.., CI) .,,,,c,;:,,,,..,41:;70.4,,,-•- Vt. ''' — 4'9'' .."4 * ''
Z) •fm•a, -'-•,,_ __..,_: ,... ip,,,t.„ cn-
'
qi) *-4%-:::-. .1- -1
;llIl
Elifti LIJ
up
r"5) Now• _ . .
;la c
11414 1111
.
, y)
inee°1141111 (13 (75 = . ,..
G '
Cili) F.- 0
CD E
ce 2 E2 ' 0
,-:-_-; • .<''. ... , ----1,-__\ --k---:, 7--., v---, v r /---
:,,...---.
•
Board of CeaCth
Netiv Business
.agenda Item #117., 3
•
2012 Performance Nleasures
Reports
YtpriCi8, 2013
•
Jefferson County Public Health — Performance Measures Report 2012
• COMMUNICABLE DISEASE
PROGRAMS: Tuberculosis, Communicable Disease, Immunizations, Travelers Immunizations, Sexually
Transmitted Disease,HIV, Syringe Exchange Program.
MISSION: The purpose of the Communicable Disease Health program is to protect Jefferson County residents
from serious communicable diseases by providing disease surveillance, investigation and reporting, along with
education, screening,treatment and immunization services. The program interacts with community members,
medical providers,the Washington State Department of Health(DOH),Region 2 Emergency Management
partners and other agencies while working toward this purpose.
GOALS FOR 2012:
1. Maintain the low rates of active TB in Jefferson County. (TB)
2. Timely investigation of reportable conditions. (CD)
3. Medical providers will be informed about current communicable disease trends and new communicable
disease control recommendations. (CD)
4. Support universal access to vaccines for all children. (Imm)
5. Promote more extensive use of all Washington Immunization Information System(WAIIS)functions by
the provider clinics. (Imm)
6. Assess childhood immunization rates for children served by private health care provider clinics
receiving State supplied vaccines. (Imm)
7. The Family Planning and Sexually Transmitted Disease (STD)clinics will assist in controlling
• Chlamydia transmission in Jefferson County. (STD)
8. Maintain access to federally funded HIV testing and counseling for persons at high risk for HIV
infection who have no medical insurance. (HIV)
9. Prevent the spread of blood borne diseases among injecting drug users and their partners. (SEP)
10. Annual report to BOH for CD, TB, SEP, Immunization Programs.
11. Maintain and enhance Public Health Emergency Preparedness and Response(PHEPR)capacity.
OBJECTIVES (INTERVENTIONS)FOR 2012:
1. Encourage appropriate screening and treatment for latent TB infection. (TB)
2. Develop &update forms and protocols as needed for investigation of notifiable conditions using DOH
electronic reporting systems PHIMS, PHIMS-STD, and PHRED. (CD, STD)
3. Provide updates, outreach and training to providers about local, state and national communicable disease
outbreaks and disease control recommendations. Provide reminders about reporting notifiable conditions
and using the Regional Duty Officer for after hours contact. (CD)
4. Maintain an efficient system for supplying vaccine recommendations,up-dates and information on
changes in the State vaccine program to provider clinics in Jefferson County. (Imm)
5. Continue to provide training and support to provider clinics for ordering vaccines using the Economic
Ordering Quantity(EOQ) system to place orders through WAIIS. (Imm)
6. Provide training and support to provider clinics for use of all WAIIS vaccine related functions to more
accurately and efficiently track vaccine supply, administration and client records. (Imm)
7. Perform vaccine quality assurance and childhood immunization rate assessment for 50%of clinics
receiving State supplied vaccines, as required by DOH. (Imm)
8. Assess Jefferson County childhood immunization rate using the new WAIIS County View Reports.
(Imm)
1
9. Women seen in Family Planning clinic who are at higher risk for Chlamydia(age 24 and under)will be
screened for Chlamydia annually. (STD)
10. Clients at high risk for HIV and without medical insurance will be tested through the Washington State
Public Health Lab, others requesting testing will be tested through the Quest Lab and charged for ,
testing. (HIV)
11. Promote utilization of syringe exchange program services. (SEP)
12.Update and test regional Public Health Emergency Response Plan, coordinating with Region II partners
Clallam and Kitsap Health Departments,local emergency response agencies, Jefferson Healthcare, local
health care providers and agencies. (PHEPR)
•
•
2
PERFORMANCE INDICATORS 2010 2011 2012 2012
Actual Actual Planned Actual
B)Number of clients tested for TB infection with PPD or 244 201 New for 198
2012
_ T test +PPD: 8 +PPD:3 New for +PPD:0
(TB)Number of positive PPD and QFT TB tests evaluated +QFT:2 +QFT:2 2012 +QFT: 0
-QFT:4 -QFT: 1 -QFT:0
(TB)Number of clients started on preventive treatment for 2 3 2 2
latent TB infection
(CD)Total number of communicable disease reports 132 117 115 150
confirmed, interventions applied and processed for reporting to
the State
(CD)Number of Cryptosporidiosis cases reported to the State 8 7 7
(CD)Number of Giardiasis cases reported to the State 9 7 8 9
(CD)Number of STD cases reported to the State 71 52 65 57
(CD)Number of alerts/updates/newsletters faxed or mailed to 13 + 13 + 10 14+
providers about communicable disease outbreaks or other DOH DOH DOHInfluenza Influenza Influenza
urgent public health information Updates Updates Updates
5 389 5,574 5,200
(Imm)Total number of doses of publicly funded vaccine, ,
administered by private health care providers and Public Health Not
clinics, supplied and monitored through Public Heath's incluH1Nding
immunization program
(Imm)Number of doses of publicly funded vaccine(pediatric) 4741 5001 4600 4855
administered by private health care providers
mm)Number of doses of publicly funded vaccine(pediatric) 648 573 600 548
VIdministered by Public Health
(Imm)Number of adult vaccinations administered by Public 1037 944 1030
Health
(Imm)Number of visits to clinics to provide vaccine education, 8 19 14 20
updates and technical support for clinic staff
(Imm)Number of providers placing on-line vaccine orders Newfor New012 for5 5
through WAIIS
2
(Imm)Number of providers using WAIIS to track monthly New for New for 5 2
vaccine inventory
012
(Imm)Number of providers using WAIIS to track monthly New for New
2 201f r 5
vaccine doses administered
2
(Imm)Number of Jefferson County children<6 with 2 or more 87% 89% 88%
immunizations in WAIIS
(Imm)Number of clinic site visits,to assess childhood 2 2 2
immunization rates in clinic patients and/or do VFC Program
Quality Assessment
(Imm) Jefferson County childhood immunization rate,using New for New for Assess
2012 options&
Child Profile County View Report 2012baseline
(STD)Assess total#and%of female FP clinic clients age 24 379 388 350 301
and under screened for Chlamydia. 49% 62.2% 50% 56.5%
(HIV)Number of persons counseled and tested for HIV DOH Lab:38 DOH Lab:19 100 DOH Lab:27
Quest Lab:69 Quest Lab:63 Quest Lab:75
•infection Total:107 Total:82 Total: 102
(SEP)Number of visits to SEP 81 142 90 150
(SEP)Number of syringes exchanged 9,156 17,726 10,000 17,405
(PHEPR)Update/test Public Health Emergency Response Plan 1
3
SUMMARY OF KEY FUNDING/SERVICE ISSUES (updated from plan written 8/11/2011 for 2012):
Communicable Disease/Immunizations
JCPH CD programs address locally identified and defined public health problems. Communicable disease
prevention is primarily a locally funded program, county milage was returned from the state to counties for TB
•
control. Immunization funds from the state are primarily in the form of vaccine,this vaccine is provided to
primary care clinics that care for children. County funding provides a professional staff that prevent, identify
and respond to disease outbreaks and immunization staff that work with the hospital,health care providers,the
schools and local groups sponsoring trips abroad for students. Immunization staff provide routine immunization
clinics and international travelers clinics. Staff also responds to public requests for information about
communicable diseases, screening for reportable illnesses in the process. The CD team continues to work on
strengthening the notifiable conditions reporting system through outreach to the Jefferson Healthcare Lab,ER,
Infection Control Committee and local health care providers.
Increased funding was received for 2008-2009,from the Washington State Department of Health(DOH),
specifically for improving Communicable Disease surveillance and immunization uptake in children. This
funding was reduced by $21,000 for 2010-2011 and by another$22,000 for 2012 -2013.
The Jefferson County rates for Cryptosporidiosis and Giardiasis,both waterborne diseases, are frequently above
the State average. We have been following these, looking for trends,and have added these to our PM indicator
table this year.
The number of doses of publicly funded vaccine administered to children in Jefferson County has been fairly
stable over the past 3 years after increasing from 2005-2009. A new meningococcal vaccine for infants may be
added to the schedule in the upcoming year. The number of infants seen in the JCPH immunization clinic has
been decreasing as more infants are seen for immunizations by their primary care providers in their medical .
homes. The Immunization team will continue to monitor vaccine usage across the County. The new County
View reports module in the Washington State Immunization Information System(WAIIS) will provide more
information on county wide immunization rates. Staff training will be required before using this report.
The July 2011 State law requiring most parents wishing to exempt their children from the required school
immunizations to get risk/benefit information from a medical provider may have an effect on our school
exemption rates and our vaccine usage. This law is especially designed to reduce"convenience exemptions".
The Immunization team consults with the school secretaries to assist them in using WAIIS to get immunization
records for those students who do not have a complete Certificate of Immunization Status on file. The
immunization team participates in the annual school secretary orientation discussing updates in school
immunization requirements.
The JCPH Immunization Program staff provides technical assistance to the clinics, immunization updates,
vaccine refrigeration incident follow-up,training of new vaccine coordinators in the clinics, assessment of
immunization rates for clinic patients and vaccine program quality assurance assessment. The clinic visit
numbers do not reflect the daily work with the clinics. Many contacts are by phone and information is faxed or
mailed to clinics.
All clinics receiving State supplied vaccines participate in the statewide WAIIS for recording the immunization
history of each child.New system functions will allow direct electronic vaccine ordering,receiving and
inventory tracking,and monthly doses administered reporting. These functions will more accurately and
efficiently track vaccine supply,administration and client records.
4
s
STD
The Family Planning and Sexually Transmitted Disease(STD)clinics follow the Center for Disease Control's
STD testing recommendations for the high risk age groups. The Family Planning and CD program staff will
Otinue to monitor and explore ways to assure appropriate testing and testing data collection.
HIV Prevention
HIV services are funded by the state and federal government. HIV case management services are provided by
Clallam County Health Department. The new CDC guidelines focus on funding HIV Prevention Programs for
high risk populations based on HIV prevalence in the local area. Jefferson County is classified as a low
prevalence county. The 2012 HIV prevention funding did not include any funding for HIV services in low risk
counties. The State Public Health Lab will continue to do a limited number of free tests for high risk clients but
there is no funding for staff time for counseling and testing services. JCPH staff will continue to provide free
HIV testing services for low income high risk clients with no medical coverage. Others requesting testing will
be tested through Quest lab and billed for the cost of testing. JCPH staff will continue to provide SEP services.
Public Health Emergency Preparedness and Response(PHEPR)
Federal funding originally for developing bioterrorism response capacity now includes all hazards emergency
response. Response capacity is developed in coordination with Region 2 PHEPR partners Kitsap and Clallam
Counties, local emergency response agencies, Jefferson Healthcare and other health care providers. Public
Health staff have been trained in and use National Incident Management System protocols during
communicable disease outbreaks. The roles,responsibilities and training have been invaluable for managing
communicable disease outbreaks.
JCPH participates in the Regional Duty Officer 24/7 contact system for Public Health with Kitsap and Clallam
Counties' staff,responding to after hours calls and triaging them to the appropriate Public Health professional.
.Msr allows JCPH to share call time and standardizes regional response to Public Health issues. Federal funding
emergency preparedness activities increased in 2010 due to funding for H1N1 influenza response. PHEPR
funds were reduced 10%for the 2011-2012 Federal funding cycle.
Decreased funding for any program would result in scaling back on services. The Board of Health would be
involved in deciding which services would be impacted.
2012 STUDY/ANALYSIS OF RESULTS:
Communicable Disease
The Communicable Disease team shares health alerts and important updates with Jefferson Healthcare and the
medical providers by fax and email. The fax system for requesting and collecting notifiable conditions reporting
information from providers continues to assist in timely reporting from the providers in 2012.
Jefferson County and Washington State experienced a pertussis outbreak in 2012. In 2006-2011 Jefferson
County reported 0-2 cases of pertussis yearly. Twenty cases were reported in the first quarter of 2012, 3 in the
second, 3 in the third and 0 in the last quarter. The CD program team prioritized their work and delayed less
urgent duties in order to focus on pertussis case investigation and reporting. Recommendations were provided to
the hospital and clinics regarding testing,treatment,prophylactic treatment of close contacts and immunization.
Cases and families were interviewed and provided recommendations. Information was provided to schools and
day care facilities. Outreach to the public recommending Tdap immunization resulted in increased demand for
the vaccine(discussed below).
*tate funding for the JCPH Communicable Disease and Immunization programs was reduced by $21,000 for
2010-2011 and by another$22,000 for 2012 -2013. This funding supports staff positions in these programs.
The CD/Immunization program decreased staffing hours by reassigning some staff hours and funding shortfalls
were met by using CD carryover funds.
5
Immunizations
In 2012 the Immunization Program Coordinator continued to evaluate and approve clinic vaccine orders
through the new vaccine ordering system in WAIN. The Coordinator provided training and technical assistance
for the clinics on the new WAIIS modules including ordering, inventory tracking and monthly doses
administered reports. The busy schedules and tight staffing in the primary care clinics make finding time to
learn new modules challenging. These modules should save time and increase efficiency once incorporated into
practice. DOH requests all clinics receiving State supplied vaccine for children use these modules.
One additional clinic began offering State supplied vaccines in 2012,Jefferson Healthcare Walk-in and Internal
Medicine clinic. This brings the number of clinics participating in this vaccine program to 5, in addition to
JCPH.
The 1/25/13 MMWR(CDC publication)reported a 2011 national rate of 84%for children having 2 or more
doses of vaccine recorded in a State Immunization Information System registry. This same rate for Jefferson
County for 2011 was 89%and 87%for 2012.
While the number of doses of publicly funded vaccine administered to children in Jefferson County has been
fairly stable over the past 3 years the number of doses of influenza vaccine administered has increased in each
of the past 5 years. More parents are choosing to follow the CDC recommendation that all children be
immunized for influenza.
The new school immunization exemption law may have had an effect on the exemption rate in 2011. The
exemption rate for Jefferson County students entering kindergarten decreased from 15.9%in 2010-201 ito 9.5%
in 2011- 2012. The Washington State rate decreased from 6%to 4.5%over the same period. It is not known
how much of the decrease was due to reduced"convenience exemptions"and how much was due to parents •
making different choices after having a risk/benefit discussion about immunizations with a health care provider.
JCPH staff provided information to schools about the new DOH website for reporting school immunization
data. Staff reminded schools about the reporting deadline, encouraging all schools to report. DOH will publish
the 2012-2013 school year report in the summer of 2013.
JCPH participates in several patient assistance programs to make vaccines available to uninsured low income
adults. The free "GIFT"tetanus,diphtheria,pertussis (Tdap)vaccine is from Sanofi/AmeriCares for low income
uninsured clients who have contact with infants less than 1 year of age,to protect infants from pertussis
exposure. JCPH administered 14 doses in 2011 and 35 in 2012. Provider clinics refer family members of
pregnant women to JCPH for this program. Additional clients have been identified through our WIC program.
In response to the 2012 pertussis outbreak the Washington State DOH purchased Tdap vaccine for uninsured
adults and provided it to local Public Health Departments. JCPH administered this vaccine and distributed it to
local clinics. A total of 173 doses were given in 2012, 144 doses by JCPH and 29 doses by other clinics.
Human Papillomavirus Vaccine (HPV) is available to all adolescents age 11-18 through the State supplied
vaccine program. This vaccine is also recommended for women through age 26. JCHP provides free HPV
vaccine through Merck's Patient Assistance Program. Twenty three doses were administered in 2009, 62 in
2010, 22 in 2011 and 4 in 2012. Demand for this vaccine has decreased as interested young women have
completed their immunizations and as more young women have been immunized previously as adolescents.
Outreach continues to women seen in Family Planning clinic.
6
The Washington State Department of Health and CDC have supplied a limited number of doses of free
Hepatitis A/B vaccine,Twinrix, for high risk clients since mid 2008.Nine doses of this vaccine were
administered in 2008, 73 in 2009, 36 in 2010, 11 in 2011 and 5 in 2012.
D
The Family Planning and STD clinics follow the Center for Disease Control's STD screening recommendations
for the high risk age groups. In 2010, in response to CDC and the Washington State DOH Infertility Prevention
Project Chlamydia(CT) screening guidelines,JCPH assessed the CT screening rate for women age 24 and
under in our Family Planning Clinic. This included exploring ways to assure appropriate screening and
screening data collection. This project continued in 2011,with feedback provided to the Family Planning
program. The percent of female Family Planning clients screened for CT increased from 49.9%in 2010 to
62.2%in 2011 and was 56.5%in 2012.
HIV Prevention
The syringe exchange program success is not easily measured in disease prevention numbers but the number of
clients seen and syringes exchanged reflects the disease transmission prevention capacity of this program.
The number of client visits to the Syringe Exchange Program increased slightly to 150 in 2012 and the number
of syringes exchanged decreased slightly to 17,405.Eighteen new clients visited the SEP in 2012. There were
19 new clients in 2011, 13 in 2010, and 12 in 2009.New clients are coming to SEP rather than relying on other
exchangers to supply them with clean syringes through secondary exchange. This allows SEP staff to offer
other disease prevention services and referrals to more individual SEP clients. The number of visits in which
clients reported exchanging for other people as well as themselves(secondary exchange)decreased in 2012
after increasing in 2010 and 2011. Continued education in safer practices during each SEP visit is important for
continuing the disease transmission prevention mission of this program.
ilikublic Health Emergency Preparation and Response
he April 2012 emergency response drill allowed JCPH to test the Region 2 Public Health Emergency
Preparedness and Response Plan with local and regional partners,the State Department of Health and the State
Department of Emergency Management. An updated Plan was published on August 2012.
4/10/2013
i
7
4110 Jefferson County Public Health — Report Performance Measurers 2012
POPULATION & PREVENTION
PROGRAMS: Drug and Alcohol prevention, School Health and Tobacco prevention
MISSION: The purpose of the Population & Prevention Programs is to provide health education and
public health interventions to county residents in order to promote a healthier community.
GOALS FOR FY 2012:
1. Improve identified social and health indicators for school-age youth.
2. Reduce favorable attitudes toward problem behavior within the youth and adult communities.
3. Enhance the overall health& safety of Jefferson County children.
4. Improve overall health of Jefferson County residents.
OBJECTIVES FOR FY 2012:
1. Convene Prevention Coalition (Jefferson County Community Network)to identify interventions
to address drug and alcohol prevention in community.
2. Increase the perception of risk for youth regarding alcohol and marijuana use, especially for 6`h,
8th, and 10th grade students. (source Healthy Youth Survey)
3. Maintain delivery of school in-service/trainings, student health screenings, student health
consults, student health care referrals.
4. Provide information and education regarding the Clean-indoor Act regarding preventing tobacco
• smoke exposure in workplaces
PERFORMANCE INDICATORS: 2009 2010 2011 2012 2012
Actual Actual Actual Planned Actual
Prevention Coalition—Completion of Completed Dec.
Strategic Plan 2012
Number of classroom 116 117 101 112 112**
presentation/interventions (Drug and
Alcohol preventions) School year*
Number of students served in the class 382 493 387 398 398
room presentations (Project Alert and
TATU)*
Number of State mandated hearing and 1034 1040 1040 1200 987 initially
vision screenings facilitated by the school screened
nurse for students in grades KG, 1, 2, 3,5 305 rescreened
and 7,* 132 referred for
further evaluation
Number of individual health care plans for 106 112 120 144
students with chronic health conditions in
all 4 school districts that were written by or
facilitated by the JCPH school nurse*
Number of school health classes (2010- 233.5 243 228 255 213.5
i2011 school year)*
1 of 3
•
Number of students served in the school 1,145 1,102 1105 1000 1092
health classes* •
Smoking in Public Places awareness 17 15 33 5 Monthly
education to Businesses Newsletter to 31
business, 5 in
person visits
* Data based on school year Sept. 2011—June 2012, ** Project Alert discontinued 2012-2013 school year
Study Analysis 2012 Results and Funding Issues:
Jefferson County Public Health (JCPH) delivers programs that promote healthier communities and
individuals. The above programs provide universal prevention programs available to everyone in the
community. Preventing problems such as substance abuse and tobacco use have proven to be cost
effective. The results of the 2012 Washington State Healthy Youth Survey (HYS) for Jefferson County
schools were released in the spring of 2013 and results are posted on Jefferson County Public Health
Web page under, Publications and Data, Health of Jefferson County, Part 5, Jefferson County Youth
(updated 3/28/13), http://jeffersoncountypublichealth.org/pdf/HealthyYouth0313.pdf. 2012 HYS data
will be used for community planning in 2013.
Drug and Alcohol Prevention program continues to provide integrated prevention services that promote
healthy behaviors,prevent harm and support youth and family in the community and in the schools.
Starting June 1, 2011 the Division of Behavioral Health and Recovery (DBHR) changed the contract for
alcohol/drug prevention. DBHR funds are now to be used for a part-time staff to assist the Port
Townsend Prevention Coalition in prevention policy development, environmental changes, and capacity
ID
building.
January 2012 JCPH,under the direction of DBHR Prevention Redesign, initiated a community process to
develop a Strategic Plan. DBHR provided the facilitation for an Evidenced Based Practiced called
"Communities that Care" (CTC). CTC created a broad—based coalition of key stakeholders who used
data(Healthy Youth Survey)to prioritize risk and protective factors in the community. The Port
Townsend Prevention Coalition with the help of Public Health Prevention staff created a Strategic plan
with identified intervention programs to address identified needs. See completed Strategic Plan at JCPH
website, http://ieffersoncountypublichealth.org/pdf/StrategicPlanPrevention.pdf
April 2012, for the 5th consecutive year, JCPH worked along with community partners on the "Our Kids:
Our Business" Social Awareness Campaign.
Project Alert(Drug and Alcohol Prevention Classes)were completed through the 2011-2012 School
Year. Local funding through the City of Port Townsend supporting JCPH Project Alert ended the
beginning of 2012. State DBHR funds will be focused on community coalition building. Drug and
Alcohol Prevention classes for the 2012-2013 school year were cut as funding ended.
The Port Townsend Prevention Coalition and the Port Townsend School District through the Prevention
Strategic Planning process started new Drug and Alcohol prevention classes at Blue Heron Middle
school January 2013. The Evidence Base program is called"Life Skills" and it is being facilitated by
•
2 of 3
. officers from the Port Townsend Police department, Jefferson Mental Health staff and a community
volunteer through the Community Network.
Funding for JCPH to provide limited school nursing services for Port Townsend, Chimacum, Quilcene
and Brinnon school districts was based on contracts with Educational Service District 114.
Responsibilities of the school nurse include: 1)writing health care and emergency response plans for
students with chronic health conditions; 2) providing staff training to support student health and safety;
3) monitoring medication administration needed for students at school; 4)providing consultation on
communicable diseases that may affect students and staff, and annual immunization reporting to
Washington State Department of Health. JCPH contracts separately with school districts to provide
required health education classes and annual hearing/vision screening. Those contracts remained the
same in 2012.
State Tobacco Prevention funding ended in 2011. JCPH is still responsible to enforce Washington
State's Clean Indoor Air Act. JCPH will continue to provide education and support for business to
comply with the state law as needed.
April 4, 2013
•
S
3 of 3
Jefferson County Public Health — Report Performance Measures 2012
FAMILY HEALTH SERVICES
110 PROGRAMS: Family Health/Maternal Child Health(MCH) including Breast Feeding Support, Maternity
Support Services/Infant Case Management,Nurse-Family Partnership (NFP), Children with Special Health
Care Needs (CSHCN), Women Infants and Children(WIC), and the Child Protective Services (CPS)
Contract Programs: Early Family Support Services (EFSS), Early Intervention Program (EIP).
MISSION: The mission of the Family Health Services is to offer education and services to all Jefferson
County pregnant women and families with young children as they build a secure foundation for a lifetime of
health, learning, and community contribution.
GOALS FOR 2012:
1. Improve pregnancy and birth outcomes by helping women improve prenatal health.
2. Improve children's health, safety, and development by helping parent's provide competent and
sensitive caregiving.
3. Assure community health needs are served by monitoring health data and targeting services to
respond to these needs.
OBJECTIVES FOR 2012:
1. Provide comprehensive education, risk reduction strategies, and referrals to community services to
pregnant women and families focusing on the health risks of: substance use including tobacco, alcohol,
drugs, domestic violence; mental illness; and adverse childhood experiences.
2. Increase access to prenatal care in the first trimester by referring and facilitating pregnant women's
enrollment in Medicaid and by collaborating with local health care providers to reduce barriers to care for
MMedicaid eligible pregnant women.
3. Educate pregnant women and families about the benefits of nutrition and wellness through increased
breastfeeding, eating more fruits and vegetables, daily exercise, and healthy weight strategies.
4. Screening, education, referrals, and risk reduction strategies will be offered to pregnant and parenting
families to prevent shaken baby syndrome/abusive head trauma, sudden infant death syndrome, falls,
burns, and other injuries.
5. Educate parents on how to support their infant/child's health, development and learning. Promote and refer
to well child care, immunizations, and dental care. Screen for developmental progress using standardized
measures and refer to community providers for specialized services.
6. Services will use science based programs and interventions when possible.Nurse Family
Partnership will be prioritized as the highest quality evidence based, two generation, prevention
program.
7. Maintain contract with Nurse Family Partnership (NFP)National Office for data analysis of program
fidelity, quality assurance, and client outcomes. Maintain contract with Kitsap Health District for other
program data analysis. Family Health Services data will be available to Board of Health and community
through web site and reports.
•
1 of 3
4.
4
PERFORMANCE INDICATORS: 2008 2009 2010 2011 2012
Actual Actual Actual Actual Actual
Number of comprehensive health screenings completed 85** 53** 56** 69 77
(includes ACES Questionnaire and Mental Health •
Screening)
Number of encounters recorded in KIPHS (home visits, 1363 1349 991 821 697
office visits and phone calls)provided in all Family
Health programs.
Number of visits provided in NFP 229 323
Number of referrals from NFP to community resources 143 156
Total number of women infants and children served by 881 868 872 825 857
WIC in Jefferson County(from CIMS report)
Breastfeeding initiation rate in WIC mothers 94.1% 89%
Breastfeeding at 6 months rate in WIC mothers 58% 57%
Number of children with special health care needs Birth 85 75 66 72 67
through age 18 referred for Public Health Nurse Case
Management.
**Number of depression screenings completed changed in 2011 to comprehensive screening completed
Study/Analysis of 2012 Results
In 2012,the Family Health Team experienced changes in staffing, clinic offerings, and funding. The •
departure of lead Public Health Nurse Quen Zorrah from the JCPH Family Health Team led to changes in
team staffing and job responsibilities. Quen's opening was replaced with a JCPH PHN; a health educator and
newly-hired PHN were trained to provide MSS/ICM services.
Also the Jefferson NFP team experienced an expansion with the formation of a regional NFP team with Port
Gamble S'Klallam Tribe and Kitsap Public Health District. The NFP team now consists of five nurses
including Yuko Umeda, as nurse supervisor from JCPH. A regional NFP team allows for the implementation
of this evidence-based program to an expanded area of shared resources and similar needs. It allows for
collaboration of experience and expertise for data collection, data analysis and nursing practice, including
reflective supervision. The expansion of the team was partly supported by a grant awarded by the
Washington State Home Visiting Services Account(HVSA) administered through Thrive by Five
Washington,the state's nonprofit public-private partnership for early learning.
Members of the Family Health Team strive to increase their education and practice in providing services to
families through education and training on specific topics including maternal mental health, domestic
violence, and breastfeeding/nutrition. They work collaboratively with OB providers, CPS social workers,
Family Birth Center, DSHS, and other community providers. A JHC social worker is contracted to serve as
behavioral health specialist for Family Health team to help ensure access to prenatal care and improve
children's health and development. JHC OB providers meet with the family health team monthly.
Health assessments and ACE questionnaires are administered to all Family Health Team clients. JCPH
nursing staff have been planers in training on use of the ACE questionnaire to local providers and KPHD
nursing staff.
Changes in WIC and Family Health clinic services included returning to weekly (previously bimonthly) WIC
clinics in Quilcene due to increased client use and numbers. WIC clinics continue at the Tri-Area
Community Center twice a month.
• JCPH continues to provide public health nursing services through the Early Family Support Services (EFSS)
an Early Intervention Program(EIP) contracts with DCFS. Denis Langlois replaced Quen Zorrah with his 25
years of home visiting experience. State wide changes in the services provided and a possible reduction or
elimination of funding for these contracts by DOH were pending during much of the year. At this date (early
March 2013) DOH plans to have social workers at DCFS initially respond to EFSS referrals, rather than
sending them to the Health department. After 45 days if the family agrees to services,then they may be
referred for PHN support. It is not clear how this will impact the number of referrals or number of home
visits per year. By the end of 2013 it is anticipated that the EFSS and EIP contracts will no longer be part of
JCPH services,but picked up by a network of statewide agencies.
March 29, 2013
Jefferson County Public Health — Report Performance Measures 2012
TARGETED CLINICAL HEALTH SERVICES
IIIPROGRAMS: Family Planning, School Based Health Clinics, Breast and Cervical Health, and Foot Care
MISSION statement for Targeted Community Health Service: to provide targeted health services, health
screenings and prevention services to specific populations with limited healthcare access to improve the
health of the community. Mission Statement for Family Planning Program: To provide accessible, high
quality confidential reproductive health services in a safe, respectful environment.
GOALS FOR FY 2012:
1. Assure low cost Family Planning Services are provided and accessible for all women
2. Maintain low teen pregnancy rate in Jefferson County
3. Improve access to health care for high school student population in Jefferson County.
4. Insure access to breast and cervical health exams to women age 40 to 65 years old
5. Support seniors' independence by maintaining their walking mobility
OBJECTIVES FOR FY 2012:
1. Track Family Planning usage patterns
2. Emergency contraception to be provided, 5 days per week, and expand community outreach and
clinical services
3. 40% of enrolled students at Port Townsend and Chimacum High Schools will be serviced by School
Based Clinics.
4. Maintain breast and cervical health screening program in Jefferson County
5. Maintain the current level of community foot care
. PERFORMANCE INDICATORS: 2008 2009 2010 2011 2012 2012
Actual Actual Actual Actual Planned Actual
Number of unduplicated clients served in Family 1128 1202 1253 1170 1300 1027
Planning from Ahlers reports
Number of adolescents under 19 served in 300 345 447 419 440 373
Family Planning from Ahlers reports
Number of Chimacum and Port Townsend High 244 296 313 300 297
School Clinic Unduplicated Clients
Number of FP clients aged 30-39* 224 227 206 185 188
Number of FP clients age 18-29* 624 611 574 630 540
Number of Breast& Cervical screening exams 110 84 99 76 90 80
Number of foot care contacts** 3131 3065 2786 2635 _ 2400 2312
*from KIPHS annual report
** Foot Care Senior Center and Home Visits
Study/Analysis Results 2012:
JCPH Family Planning staff including Administration and Medical Records researched Electronic Medical
Records (EMR) systems to purchase to remain compliant with the Affordable Care Act. The new EMR
isystem was purchased Fall 2012 and staff received training December 2012. Over the next few months the
EMR will create better efficiencies and hopefully increase client numbers, but in the beginning of 2013 there
may continue to be a decrease in client revenues and increase in staff hours.
1 of 2
JCPH continues the partnership with Jefferson Healthcare to provide two school clinics: one at the Port
Townsend High School, and one at the Chimacum High School. These clinics serve enrolled students,the
schools and community through more students seeking MH services, FP, and primary care. •
The reduction in client numbers for the year was due in part to changes in recommendations of how often
women need exams, and the decrease in the number of required paps. Throughout 2012 the team did
outreach at classrooms, flyers posted around town and ads in the paper. The team plans to continue outreach
with the Americorp employee and Health educator.
Family Planning services at the Quilcene Clinic, Wednesdays, 10 AM to 2 PM, was increased back to every
Wednesday starting September 2012. The Quilcene Walk-In Clinic usage is variable. Starting in October a
Nurse practitioner provides services one Wednesday a month at the Quilcene Family Planning clinics
increasing access for medical exams. A Family Planning RN provides services the other 3 Wednesday a
month providing Birth Control methods.
In 2012 the Breast and Cervical Health Program (BCHP)had level funding maintaining the number of clients
that could be signed up for BCHP at JCPH to 80. BCHP addresses the need for cancer screening and early
treatment to decrease deaths from breast and cervical cancer in Jefferson County. This service has been
decreased the last few years and will be eliminated in 2014 with the changes in federal health reform.
JCPH Foot Care program staff changed during 2012. With the changes, Foot Care Clinic services were
limited based on the availably of staff to provide the care. Starting in 2013 consistent Foot Care staff will
provide outreach. The Foot Care program helps seniors maintain independence and mobility by providing
foot maintenance at community centers and at clients' homes.
•
March 29, 2013
•
r
Board of Health
Netiv Business
.agenda Item XIV., 4
•
End of Year
Public Records Report
Aprili8, 2013
•
00
pco coDiDi CD - ppDDCDi Di . 0Imm -IDS " m = DDsrn � CD Di ` pDi CD -1oozD o m
O, o, a, [D a, d 7 7 7 a, - fl,, rm•r O m tD 0 > 3 a a,, .4 ? 7 7 N '-""! 0 tD d 0 7 z. n N 7 rt a, (., d ? j F+ -n
• al
an d o n 3 0 °a' 0 too 0 3 om 3 D c=o 7 0 0 DO, (D _� 1° CD u7 c o c a• -' - m pS to obi 2 v m
° aF o o n - o r(D) m c
c s
O O
Z
00
Ao c
lIE
., to O ma`111111 , ' A
3 3 ::::‘.1r"--,
m N m -, o N w
`` s a
r' m
IT'''.:
1 s
,„,,,'"--.4"::' ,
1
E
r r 11111
r M tT W r to r W r E W r In N W r N r
• ? N
,...) .00
O N r ? r O� O lJ1 r COO W r 0 0 W O O P O Q, O Q� O tT O ,,,..8
N
n va, p •oD_Ow '-' rn_ nOSpnnD0A •o3 „ n � � * A3tnznn ( mx -o - nna • o+ n
o coo o2 * O ° •; us ° n m 3 .0 3 o v m o crt° ° rt f d m o v o ° a
N3 0 = -,, o, ' n no U)i 3 tit°i ono 3 rt m > > o v°i n - RD Cl. o .-, r' s o 0• 0 , n = o 0 o n, ,
o GT 3 m R° d o m CU 2,° o o EX o y a m m ;o m o 3 -. o 0 o to too m 5 o m b' m .. 0 > a
cac °i cvo �rno ^J000 pro o � n �-o O•A. 0CDA. (nand & m
ia v o, o o v > > o m o
coo to �• v !!!:
n m oW, m � o o to o a aaa � � m sn� � ° vt �+ � � rn '� ro mc o ° °';.
, o �� o °i
n 4 o, n - n ?n o s vim, ry n va, o o ? '1,1i)
a voi -n a 3 ti, o, to a o,
lon 0 (DD y N A = (D O 7 O O fD \t3D rt'O d ? w �j L*. N (n O O N r+' Z :•* d O Gl N r d
3m� < °lD0. 3 nom . Rio m 0 m ° , in aooro -0 el e o 000, _ tnNo m opO `� a `�
tv CD = .0 O.,O '7 7- 3 0 3 m � ro n.) 0- 0 -, ° w n n n rt to 7 -113 � c op .A n "+ .Na
o o o p1 o 3 o o c tO o 3 — =!2 4 — ? F o — o•nt .< < W r <. W a r 0 m w
•
-' 0 3 a rt a 3 a rn n • R, a' m o n 3 d. tr, -• -, o, m - 1- m r O O o ° to co (n o, a 3 n
CU _. •a -n W • Nv o 0 0 m v, rn8Ell a. m Sico ? -np 3
Q F� cc co - O � � ---.. �, 0 3 v °: _n -, 0, 0- p.,., w o ti pro w o a c 2 -
Om rn a n ' o - .., Y, o to 3 0 o, n o 0 0 , n
----,i_,.,3 o � sz rn . rt3 2 - 0 0 f 0 `".m ac -; c s ro ro 0; � '�
-a a n •0 ° co r o.- x Un n 3 c, rt _,-,,
0 o art ,-�.; n 0 cu N vo m Cuo _ 0 to : 0 = , c
.c 3"-o SP o v < O_ z 0 a 5i° 0-CD a c o o °• 3 3 co d °. p i n c a, °'a J ° ort °o' 3
v
IfiTnWnnt�oon, "vo2gf a, ort, tna � - O0a, c ° o 0 or ,. o o ° . cn 0CU
o ° 0- co o-C. 3 rn .to npr. r r- ° o. ....1
to 0 0 o w �,
� N N () oc 3 N N d: �� _ n ° if 'nO fro In 7 tO �* O. n d� 3 r n 0O Qj �O W 3
\ v ..-.• a 7 m o co two T d o M (-D n ONo 6 3 a a " 3 v o Nm °: m to 3 �" �A 3
room � � (w�v, � c .. � v_ 0 3 � cvo 3 ("b) 3 o a N � r e
NJ 05 . • 0 co -P fp rtart'• n = 0 n nc°o ° a, °' n v B. d 3ce, w (1) m O CT,
$, Spo n o cm-0 3 .- - -, nom nc* .y, ., �� a. N
�p o CCI ¢o FtO r o a.p � o m o ? o a A
0.0 m O T 0.° . . m 0 0 7 0 Sco ; (n' ,O.r -, 0 m m to o
cnm m s0 • v • Q o mm .1. o O oII
: ! !
CD c o c 0 a m n
tO n p N n N v N Q co y a 0.0 a.d 0 —
F•o Cv�CU tn c3 -oiavo < O � 0 � � 3 ~
N D O 0�1 •3 j • O •D O • C-1 6 ° -n5. ° N 7 0 cn
. CD 'O N a n N ? CD 3 d d O y
-0 0, i
`ti• o'Y_, � m33O co 37 330 � 03m 7 G) ACD D0, DDS ° °-' am Cu—
• (T7 O a 7r 7C 7 O7 7(' a 7c 7c 0l Z 7� 7 a 7 13< < < < < <
(D (D a(D - N co 3 7 co ((1 N Ol O co CD (D �<(D K `<(D (D
•(o m• m o
w
• 72 19.(
N O m
p o c In
4Nv
Oti.'
� (1 = gc) gcD -1 (n co r) (n = v33w3 � 325c? g n3 (WD
O O (D C N 3 Cu (D O y n rt O ry n n N n C n 3 n
n n v C (D
w D N N m N v7 v7 m m 0 c 3 D°i OOi ° ° o' aii m o, 3 0 3 y
V m 7c 7c N 7C 7c al 7 a 6.< 7-<`< `< A K CDo 0, n k, o 7C
.A .
WCD N
V r A
no * c
„ 3 3 ,-' - Nr - i- -' - - •' F+ - - - - rr - r " rrr - rrr - - -+ -
CD 3 w m N N N N N N N N N N N Yrs,"","' N N N fJ N N N N N N N N N N N N N
Z V V V V V V V V O1 O1 01 01 1 Ch 01 Q1 O1 01 V1 V1 VI VI V1 U1 VI V1 VI V1 ? 4, ?
8 g C ...� V 01 (n 41 co Nr O tO co '401 U7 W Nt+ O VO CO V O1 un .4 W Nt+ O MD 00 V
A.� O• y
S 3 •`O\O N N r �- N N CO CO N N N N N
n = W N N N 1r r V is ? y.2 W W w N V In V V ? 1-.---,,,Jo O Wum V V 01 W ?
0 m N N-it-y.2
N N N N-----.1
N N----1-
---..c°
---9
---.L4
p N N N N N
, O vi m00000000000000� 00OOOOr000 t-, f-. 00000
(O (D 1r 1••'' 1--' N 1•'' 1'' N NNN 1r 1+ ~ N N N N N N N N N N N N N N N N N N
Ol .V M O N N N N N N N N N
3 •O
O (CDN
0.1 AtnoO O NtoO O O O O W 1-' N O 04, 0 W N •ACOLO W f•' r' W OI-' V V
7O 0 0
CD 7 m
co 14.J
7
01 O N r N r r (n NN u1r
OD n N V1 01 co N (n O O co O W N N O co •A W N . CO (0 W N. 1-+ W O N. V V1
n v d a * 01 1 N d n 2
7 N 2 N W d n1
'00 d N (nD N K O O (n cO „' n O -n .O r O — .�
7 (D fD r v Op (0.1 _ -0 - 3 O
(D 'O —I ,-}v (D 7 7 7 -0 3 (aD o ((l O o m a-t o a a,< a O/, o O 2 a
` oR
nn a n:n =10 'o vi a In 0.> (19 S°� -4, ac a0 ',mv 0.a2 @ 0 @ 1.. 7• fp3
Ho
. -1 � � O 7 q `� 3 H. p Oa Oen N. O v1• � 0 NN � �NO a
CD m D a n N, c H.
3 0 3 (D0 3 o 0 m o m c= u o o, m (n
CD --i o -h� �' 7 3 `Ciu7i � <• m Nv413. ._ W g 2 °F�c 1- m 0: o
N N O ,,; -* o (o CU v1 a1 3 (0 0 3 7� o N. n n, iD ,� (� S n
y N� o —n O O rt (7 � 7 a D-G � -� n o-r* o. =I. C,1'F:' rr
•▪ _�, a 7 n N O� -' C7 _ 2 N O, D -7.-.. -
O W Cu •V IUr
oo Ol a \ l7 '0OU, On � •
10N W (D a r+ O N 7 OO7 O a conN (DI7 -0( C W1cfD w O Vi. 00 -0 � E nn 7 m 01 _3 CD
_" D7 0
C Ls) 0_, OO u, `-' O '< (n d rr �' 3 Cr, MI a a3 m a2
C N v 7 .A ° ° (D (D a a N ., 0 1•' a ---. Ch Cu .y, 7. �*1 C•)
O D -' (D 7C 7 (D )v 3 O — N N N O d — (D
FT 2.
0 f7 0 (�D N rt d C O N S 13 a o ,,'"� t\O a (7D CD 3 O� co V
�� � o �� 0 3 y � m L" N. � N CL 1....,` " cD � o<
O7 O l• 7 0 0 fn" 0 n � Ol * V . Z A. (j (D
2`< rte- CO 7 7 � O�p N 3� O N lO 9,d N N O , (n
O n A O ,.., a j (� D/ O) N ON Co 0 v in In 7 V n
cd r n �, NJ 7
C! 1 a73 aD W CD C N y 20 co N NO1 7 LID 3 7 0 La N
o rt 0 .7-r,'�O N CO 0 0 01 ,3-r a r, N [� �j' N •�,
On Q j N 0 O �'* Chi 7 O ;0 -N 7 -o tO
N O 7 O (((=((b'-41� N n CO (D d S
. a 3 Vai o- - cri _ (g O QD O a hi _
3
N atCD ^ O- N 3 n �p 'O
ai
rt C CD
N 7 D 1n o Ol V
C (D -n (n ('1 V7 7 O N ¢D
n`C -0' 7• n NOC r ~ n
_ O
0 CD 'O CD r 1n7 UU1 3
(o > j (^ N o 3
Sz vi < N Yi1i
(D
(D N in 0Ox Dl CD
(D 7 CD M
.O in f-
. • CD 0
0
• CD
(D C C I i
N
o 4 o
(71 0. N
c• a '
o C
CL
- - i
r
Board of.9Cealth
Netiv Business
.Agenda Item #1V., 5
�
Oral.1Cealth .Access:
SmiCelv(o6ile &
. BCD Implementation
CCaCCam/Tefferson Counties
Ayrili8, 2013
•
• .
• YourDoes
`
Fftit
! 3•`i r
Snillobi9 Child Need
- ._ 04/ DentalCare?
xY
The Washington Dental Service Foundation (WDSF)
SmileMobile (a fully equipped mobile dental clinic)
is coming to:
Chimacum
May 9thMay— 17th2013
•
Chimacum Schools
91WValley Rd.
Chimacum, WA 98325
To schedule an appointment or for more information,
please call Jefferson CO Public Health at 360-385-9400.
Appointments must be scheduled before Thursday May 9th.
The SmileMobile:
• provides dental care to children (birth through high school) with limited
family income
• accepts State of Washington Services Card (Provider One) and sliding fee
scale based on family income
• • is operated by WDSF in partnership with Seattle Children's Hospital
This event/activity is NOT being sponsored by the school district and the district assumes no responsibility for the conduct of or safety of the
event/activity. In consideration for the privilege to distribute these materials,the school district shall be held harmless from any cause of action,
claim, or petition filed in any court or administrative tribunal arising out of the distribution of these materials, including all costs, attorney's fees,
and judgments or awards.
t-57 c___ D
Grant for child dental services to benefit Jefferson County A
•
By Rob 011ikainen,Peninsula Daily News,April 4th,2013
ferson County's youngest residents will have better access to dental services thanks to a$200,000 grant awarded to Volunteers in
Medicine of the Olympics.
The Port Angeles-based nonprofit,which has been serving Jefferson County residents since its inception,will expand its presence in
East Jefferson County through the Access to Baby and Child Dentistry program.
VIMO received the grant from the Washington Dental Service Foundation to hire a program coordinator to link Clallam and Jefferson
County dentists with children who need their services.
"It's just the connector piece,"said Larry Little,VIMO executive director.
"It tries to connect clients to providers who are willing to provide the service."
The coordinator, Susan Gile of Port Angeles, will work with community organizations to identify Medicaid-eligible children ages birth to 6.
Access to Baby and Child Dentistry also recruits and trains specialists to work with babies and young kids, and teaches primary care
doctors to deliver preventive oral health care at checkups, according to www.abcd-dental.org.
The two North Olympic Peninsula counties were the last in the state to obtain the Access to Baby and Child Dentistry program.
"We have tried to get it started in Clallam and Jefferson counties at various times over the last decade and just could not find an agency
or organization that was able to staff it,"said Dr.Tom Locke, public health officer for both counties.
"Elsewhere in the state, it's been a very successful program at getting children in to see dentists at earlier ages."
0he VIMO clinic in Port Angeles serves about 1,600 patients who don't have adequate health insurance annually.
It provides primary care, dental care, acute care, mental health care and other services for people in both counties.
"A lot of parents have a mistaken notion that children don't need to see a dentist until they are 3 or 4,"he added, "when in fact,we know
that it's very important that children start to be seen when their teeth emerge,"before age 1.
Of the North Olympic Peninsula children whose families are on Medicaid, only about a quarter are being seen by a dentist.
Little said the goal of Access to Baby and Child Dentistry is to drive that number above 50 percent.
"We'd love to see it at 100 percent,"he added.
Little has been working with the Washington Dental Service Foundation to set up the Access to Baby and Child Dentistry program for the
past nine months.
VIMO used a portion of the grant to hire Gile to coordinate the program in both counties.
"We're already making contacts in Brinnon and Chimacum, and we're working with the Olympic Peninsula Dental Society,"Little said.
He added that Gile already is well-connected to the North Olympic Peninsula dental community and is"the person I envisioned having
the tools to make this program successful."
JC MASH, a volunteer-driven nonprofit that provides primary care for those who can't afford it or lack insurance at free clinics in Port
Townsend and Port Hadlock, does not offer dental services.
Sor more information on Volunteers in Medicine of the Olympics, phone 360-457-4431 or visit www.vimoclinic.orq.
Reporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen a(�peninsuladailynews.com.
•
Board of Health
Media Report
•
April 18, 2013
•
• Jefferson County Public Health
March/April 2013
NEWS ARTICLES
1. "JEFFERSON COUNTY: Youth survey results also above state averages in pot smoking,
drinking," Peninsula Daily News, March 20, 2013.
2. "Washington State Department of Health —Tobacco Quit Line," Port Townsend Leader:
2013 Jefferson County Wellness & Safety Fair, March 23rd, 2013.
3. "Moms and babies welcome at weekly `Breastfeeding Tea'," Port Townsend Leader, March
24th, 2013.
4. "Jefferson County Public Health celebrates National Health Week," Port Townsend
Leader, March 27th, 2013.
5. "Breastfeeding Tea," Port Townsend Leader, March 27th, 2013.
6. "EnviroStars firm," Peninsula Daily News, April 3rd, 2013.
7. "Grant for child dental services to benefit Jefferson County," Peninsula Daily News, April
4th 2013.
8. "AmeriCorps volunteers have local impact," Port Townsend Leader, April 10th, 2013.
•
•
JEFFERSON COUNTY: Youth survey results also above state averages in pot smoking,
llpydrinking
Arwyn Rice,Peninsula Daily News, March 20, 2013
Jefferson County's 10th-grade students are more likely to smoke marijuana than tobacco—and are far more likely to
drink alcoholic beverages than use marijuana.
And they do so at higher rates than the rest of the state, according to a statewide survey commissioned by several
state government agencies.
The 2012 Healthy Youth Survey, taken every other fall, polls students in the sixth and 10th grades on their use of
drugs, alcohol, issues with violence and attitudes toward school.
The survey said 10.3 percent of Jefferson students reported that they had been drunk while at school at least 10 or
more times in the preceding year, compared with 4.1 percent of responding students statewide.
The survey was sponsored by the state Department of Health, the Office of Superintendent of Public Instruction, the
Department of Social and Health Services, the Department of Commerce, the Family Policy Council and the Liquor
Control Board.
It included 123 of 212 Jefferson County 10th-graders and 150 of 194 sixth-graders students but did not break down
student responses by school district.
The complete survey can be viewed at www.askhys.net.
•tudents who reported substance use included:
• Alcohol: Jefferson County, 27.3 percent; state, 23.3 percent.
• Marijuana: Jefferson, 30.4 percent; state, 19.3 percent.
• Tobacco: Jefferson, 15.2 percent; state, 9.5 percent.
Just more than 20 percent of Jefferson students reported "binge drinking"—defined as five or more drinks in a row—
in the preceding two weeks, compared with 13.3 percent statewide
More than half of them, 13.9 percent, reported binge drinking twice during those two weeks.
They reported that friends were the No. 1 source of alcohol— 14.5 percent—while 10.9 percent took the alcohol from
home without their parents' permission.
Among Jefferson 10th-graders, 50.9 percent reported that they thought their schools do not enforce smoking bans,
and 8.9 percent said they had used tobacco on campus.
Among girls, 34.4 percent reported using marijuana, while 25 percent of boys said they had used it.
Among Jefferson County sixth-graders, 1.4 percent of students reported drinking alcohol, smoking tobacco cigarettes
•or using marijuana.
Sixth-grade substance-use statistics in Jefferson County were similar to state averages.
The study also asked students about bullying and how safe they felt at school.
Girls reported feeling safer at school than boys, though they also reported that they were bullied at greater rates, and
girls were significantly more likely to report that they enjoy being at school than boys. •
Among Jefferson County 10th-graders, 81 percent said they felt safe at school.
Some 35 percent of Jefferson students reported that they had been bullied at school within the preceding 30 days,
compared with 25 percent statewide.
However, while 42.2 percent of Jefferson girls reported bullying incidents within the previous 30 days, only 22.4
percent of boys reported being bullied at school.
Boys were more likely to report that they enjoyed being at school—40.4 percent to girls' 37.5 percent.
Among sixth-graders:
• 84.2 percent reported feeling safe at school.
• 38.9 percent reported being the target of bullying.
• 4.5 percent reported carrying a weapon to school.
• 44 percent reported enjoying being at school, compared with 59 percent statewide.
As with the 10th-grade students, there is a division between boys and girls reporting:
• 49.3 percent of girls reported being bullied, compared with 25.5 percent of boys. •
• 57.7 percent of girls said they enjoyed being at school, while 29.2 percent of boys agreed.
Reporter Arwyn Rice can be reached at 360-452-2345,ext.5070,or at arwyn.rice(a�peninsuladailynews.com.
Washington State Department of
Health
st Une
1-
800 QUIT- NOW
toll-free 1 - 800 - 784 - 8669
= ivy :
www.Jerf r un u is It Sorg
is 2013 Jefferson County Wellness&Safety Fair
•
a/ad/xi
0
3/24/2013 6:0000 AM,PortTownsend Leader
Moms and babies welcome at weekly 'Breastfeeding Tea'
Moms and babies find support, fun and friendship at a weekly "Breastfeeding Tea"
event sponsored by Jefferson County Public Health every Wednesday at 1:30 p.m., with
breastfeeding educator Kathy Luch.
Breastfeeding is worth the return on investment, according to a press release from
Jefferson County Public Health. Benefits for the baby include decreased chances of
obesity, Type 2 diabetes and respiratory infections. For moms, breastfeeding decreases
their chances of breast and ovarian cancer and postpartum depression.
For more information, call 385-9400.
4117
' Jefferson County Public Health
5
>.0,t , sponsors a "Breastfeeding Tea"
�`� every Wednesday at l:30 p.m. Moms
. and babies at a recent tea included
� (from left) Elizabeth Mull and Elliott,
;,„t,
, Rosalinde Czaja and Wyatt, Merilee
� 4+� and Neloceana, Mimi and Lochlan,
- 0 b 0 Amanda and Aurora, and Danielle
>� and Tabatha. For more information,
r4 °° -'` call 385 9400. Submitted photo
Moms and babies
welcome at weekly
`Breastfeeding Tea'
Moms and babies find
support, fun and friendship
ata weekly "Breastfeeding
Tea" event sponsored by
Jefferson County Public
Health every Wednesday at
1:30 p.m.,with breastfeeding
educator Kathy Luch.
For more information,
call '385 9400. —r7L4 /
3/27/2013 8:54:00 AM,Port Townsend Leader
.
Jefferson County Public Health celebrates National Health Week
Jefferson County Public Health takes part in National Public Health Week beginning on
April 1.
This year, the National Public Health Week theme is "Public Health Is ROI (Return on
Investment): Save Lives, Save Money."
Health director Jean Baldwin says 2013 is the year of transition before full
implementation of the Affordable Care Act.
"It is a great time to review and plan the future of public health," she said.
"We're focusing on raising awareness about the role of public health and prevention in
our lives, our health and our pocketbooks. Poor health comes at a big price, for us all,"
she said. "But research shows that investments in evidence-based public health and
prevention can make a big difference."
The concept of return on investment drives local public health activities. Programs are
designed to prevent health problems before they occur.
The focus is on improving an entire community's health through achieving healthier
lifestyles, better birth outcomes, cleaner water and safer food, she said.
Jefferson County Public Health will issue monthly stories and Web updates focusing on
ROI throughout the department.
"Did you know that every minute of every day, we are on the job to keep you, your
family and everyone in our community safe and healthy?" she said.'
The county health department inspects restaurants and food retailers to ensure that
food is being handled safely. The health department also tests water to determine
whether lakes and beaches are safe to swim in.
"We are your immunization experts. When communicable diseases occur, we identify
them, isolate them and work with our local health care providers to stop them from
spreading," Baldwin noted.
The health department also is responsible for birth and death certificates, and provides
family planning services.
For information on Jefferson County's health department, call 385-9400 or go to
jeffersoncountypublichealth.org.
•
• •--.,. .:•:-,x...‘.!
• • . , ,, ,.,. .
. ... ... ..
' -*1.7.74w41-iiiirY4m04-3kilf_R-;-'lits-: --:give i -- \' -7-- ,. ,,,•-' - -;-:,' '.
le.I.T.i Fe140.41,,AV-Al.,,,,0.0%,,,r,,,,,,......Ai, 4,,,,,„r*,..t,r''''.- ,,-,', ' s,„,. ..,„:,-, - ,I• `-
- w<- '4-4,,k'A!',°4'5i,'A•nr3i,r4ft"*'*','Zi-rfte5"4e'''', .-' ' ,i -`•-:',. - , ',-,-,
.'441;?..,m7•41.‘VriCOP.R.4*,434,0=4/,•";',-ti.i4*-6.4-•'' - "'-'1 ..'''•-'/ '
•i •,4i,:s4,,r,''''r ' IV-Z.4,•;.ViVe4:00T'ik4tc',..k„..*-t„,/-'71, '''':„,"' • .- '
>k-z••,••04,, . 1•4•-•xM04-4-',-...ta,v4tite.t,T6-t. ''''---'''u 'of.'" -. -'
=11,4--,-, = . ,-. . . . ......,,,,,, ,, ......., > , •
4?4,41 '.,',-,,t'Oriater*X.,*•%.,,,,t,,..:4,-„,...m<•.`-' , .•,...".... ..........„-- --- .
zrA•'tit'4-:.Y'' ''',•••-%14;47.4''+44.14:1$'4C.,,"'' '"'-'----7 •L.,••,.•,;.:Zc''.'-;•'- • — - _ .,140 , ,,-
-, ••.---:,., --- - ••', '‘...Ack•VP.''''' I• •;;3 '''' •,•',?-; ,`j'''' ''''',`,'•• - ..z-;••••,_:' --..m.ii,,,
' ‘ ,‘,.zi ', --- ":;Ai'l.' - ,• ''''.' ',-;;T:::;;;40;41;:l; k,-0P-1;;*-Y11• . -,, •; ,- „..,,,4,
, '?1•4-:!..,;;0* yt:,":110/7 v-•.- 4' ,,
A
,,z,5_,• ,„ -.4;' -. . , Aigt-4... - --,
' '•41%. ''' fr' -'-' s- '':,,,'-.•---'• ''•, :4"'-',:t''""•,,Z:N: ‘...
.. i i-„,..,-- -- :'s- ,,%. ; !,':Wi. ,..• ' . - 4-,,i,,,,• ,''ik•-•'-•,t;,!...k4,..., .S.,'. ,-t‘; ilitte4rVIV,, ' ..,, ,,A,`., .,,S..
' ,.*V,,f,, ."' 4,., --: $.1.. .--..,,-'lin ...-Yfi • '''' '''•*il''-'"',661% '''':',',/=.s 4,.'v:-•:1
,-‘..,,...,-,,-.0 , ,,I.,1,!:it k$1.-,,, ...:x' ,.'---',;:::-',...:'-.'.- -. „-," ,...-:':`-. ' i--.::-N,,,-'I '.'-; -4.4- -:,:047,:•:::%-..,
.--&-‘1,,, ,....t.,,,,,,, . ,ye. • .,_,-,,,-„ir,.•:.,:- . : .;,:,. _... '. ,• -,..,,,,,,' '.,,,,; 1,-....„4.0:, , -44,:•;,,{4,4;,''''-'- '''.
Itt
l-rs•:- <' ':. "-,:,e, ''3/4"'=„.-' : '-- -"''..'-'''' -" -': .'' '< -•";' ',,''':- -'.'.- %17;..,V ••:5.-.-, , ;•7-"f/- ...'''''', ite.t,g'-.' ...f•••'=,',Y:
%.- 1‘,..2 '',.;' -- '' .iiip7t44'' --:,--t,:-..-...,A - ;,:41-3; ,..ilt ,,,;i:,-, .,:_: .--AN:Icf...'s.::-.--'',,,. ..;,'t...•.,',,,
16,
.-,
,,,,,..) -,t..,,,,.,..-;:- ::._. -., . -2::"400,,,,,piititirtisii,13,71,,,,,,,%$,Fib V•it,CIP
4,.‘, 01,•. ,..,,j%, -f:::,:-,',' 1 ' ,—,4N2,`;, •.‘ `-`t,.....,.' ,,,,-. , ..:;---/•,:,..1`'-.., '''', 4'. - : -,. .,..;.,,,.,L,,,-17`,'":44$'
,, rzfa•;,,',tf-,•,;N.,,4,..k AZ.-,-, --.., •,,,-....4=,e,--"'; '.---,--;&..7,-,i'''. 1,!,-; ,„: , ,„..,..-...',..,, . - . , ,,,,,., .N •,- ,!aiz -.-.,,,...-,,,
-• , ,/-,..,,,, - iri.ic,k,,,,,
A,::•*‘;:i:',OVik S.'s-MU,- -'"—'4, ''s„, 0,,..,:''': - '!,:',7-'' ' q''"::,"7:,%7!::,;.f>.- \'-titi3?...i;.4 '',,,';'"":1 -.., .`,41ralc., -.!•,.-f,'...•-,-'4'.i'7. k'';,'‘-,•1,1
11".',1 lif.,,,,,z,,,:,:-.111,,-,: '*,,,., ,,, ., 7.„,,,,, ,- -2,,,r-•.:-.:::472.-..'•,-f;!-- 1,,;;,;,,,';,:,„„ - ' ',-,. • .y 41,„„dr,,,,',:sfilif,:',w-Nit';',
.,,,'.4_,A-- .,- '' - - - ,,--et,,,..-..,—.74 t-'t,- -.-!'..:-.,7-7 '` 7.--vi.;:.,--,:2,,e-o ..;,',, ,--,..- ,,.4-4:e-,---- •;--„,.. -. k i
?P,AVa.":' i, . ,,' ‘a,\,:. '''',i,...., _ ' AO.;v.P, `4:' •' , ".•'';',.'''';':',:: . • '..;$0.e....,.,,,:.., '' ' ,:".44;€4:.:,, ' ",•,... 'sta,
,,4,4,-v.•-..t-%,"4-• , ‘-.,, •-•'.4.,w ,, s,„•, -. - ,, ''''Pk=-I',,=4".01,.."1:74,- . ' .',.. , --fiv,,,,•,•,:•••••7t, ,,,f;',,,,,.4,'*..,Z1-4'..,;;;;^,":-:,;•••,„;.•,• P,•!..:1
iit-4.t.-='',4,1- ' "." -;:- -, ,-..,,.;.i. '4--:,;•%,;:'",•t4.7:'-,, 1,-,,, ., ,-,,, • r-,•::',•;:•;;;-:-.-,,,,,,••j&nv.,,,•,:l..-<;;,•, , • -J.',
,r',1 st,N11,4'4`tle.; ' ,,,•••.,•77-*•71;1:it:'''''''' ..--:. ''.:,:lit'•;.1'''- .k.:'-',•••1\hOitc.„ '',.,‘;,•:'-z-E-1•-'..-,Y2 -":''''-''. ';',',-;---,;:g1/4',,',--. .._44,!.
4... . • ,... .
,,,,..,,,,..itj,ki,,,,z4,tts .,,,- 4,::... .:.44_,ILI..,,41-&-_,.:,,e..,..its 4.- -..--71.1,--i,_t• ',--, ...,.&.„.,.% ., 1-,..-.,- v.
„ .
',.'45:2fitriN!..*".1,. ..,,,r, •1-." iss77,1- -,s....-4-4:4,z,.„„-A,,,,,,, r:4,),,,14,,, • -„,„„,..4-4,44-1...wv„- ''<ti-..=: -'' '''' .
',k..,:.11,i;.3:.tpB..:,r1.,1.A,,,.,t4r„
r.,T!...1.,.ea s-,
t'r,'',f,-.7.
e'",,',1.;.e
4*e0.1ding
'--
Tea'
J-'•effe.-1rson:
Coun!tyPublic CH''
ea''
lth sponsors
ona7n
r4
s a'Breastfeeding:z :4''
-
Tea"every
Wednesday
at
1:30 p.m.Moms
ms
and babies at a recent tea included(from lef)ElizabethmuIIand Elliott,Rosalinde Czalaana--ari,Mer.:ee:ndN 1 ceana'himiand Lochian,
Amanda and Aurora,and Danielle and Tabatha.For more information,call 385-9400.Submitted photo
III
•
/rWi°t4 /
3/ 2,
EnviroStars firm
PORT TOWNSEND—
• Day Boat Co.has been
certified as a five-star
EnviroStars business by
the Jefferson County Pub=
lic Health Department.
It is given only to busi-
nesses that demonstrate
environmental leadership.
Day Boat Co.elimi-
nated the use of chlori-
nated compounds and
hazardous chemicals.
EnviroStar ratings are
free.
Jefferson County Pub-
lic Health encourages cus-
tomers and visitors to
look for the EnviroStars
logo when they do busi-
ness in Jefferson County
and around Puget Sound.
For more information
on the EnviroStars pro-
gram in Jefferson County,
phone Pinky Feria Mingo
• at 360-379-4489.
•
Grant for child dental services to benefit Jefferson County
By Rob 011ikainen ,Peninsula Daily News,April 4th,2013
Jefferson County's youngest residents will have better access to dental services thanks to a$200,000 grant awarded to Volunteers in •
Medicine of the Olympics.
The Port Angeles-based nonprofit,which has been serving Jefferson County residents since its inception,will expand its presence in
East Jefferson County through the Access to Baby and Child Dentistry program.
VIMO received the grant from the Washington Dental Service Foundation to hire a program coordinator to link Clallam and Jefferson
County dentists with children who need their services.
"It's just the connector piece,"said Larry Little,VIMO executive director.
"It tries to connect clients to providers who are willing to provide the service."
The coordinator, Susan Gile of Port Angeles,will work with community organizations to identify Medicaid-eligible children ages birth to 6.
Access to Baby and Child Dentistry also recruits and trains specialists to work with babies and young kids, and teaches primary care
doctors to deliver preventive oral health care at checkups, according to www.abcd-dental.orq.
The two North Olympic Peninsula counties were the last in the state to obtain the Access to Baby and Child Dentistry program.
"We have tried to get it started in Clallam and Jefferson counties at various times over the last decade and just could not find an agency
or organization that was able to staff it,"said Dr.Tom Locke, public health officer for both counties.
"Elsewhere in the state, it's been a very successful program at getting children in to see dentists at earlier ages."
The VIMO clinic in Port Angeles serves about 1,600 patients who don't have adequate health insurance annually.
•
It provides primary care, dental care, acute care, mental health care and other services for people in both counties.
"A lot of parents have a mistaken notion that children don't need to see a dentist until they are 3 or 4,"he added, "when in fact,we know
that it's very important that children start to be seen when their teeth emerge," before age 1.
Of the North Olympic Peninsula children whose families are on Medicaid,only about a quarter are being seen by a dentist.
Little said the goal of Access to Baby and Child Dentistry is to drive that number above 50 percent.
"We'd love to see it at 100 percent,"he added.
Little has been working with the Washington Dental Service Foundation to set up the Access to Baby and Child Dentistry program for the
past nine months.
VIMO used a portion of the grant to hire Gile to coordinate the program in both counties.
"We're already making contacts in Brinnon and Chimacum, and we're working with the Olympic Peninsula Dental Society," Little said.
He added that Gile already is well-connected to the North Olympic Peninsula dental community and is"the person I envisioned having
the tools to make this program successful."
JC MASH, a volunteer-driven nonprofit that provides primary care for those who can't afford it or lack insurance at free clinics in Port
Townsend and Port Hadlock,does not offer dental services.
For more information on Volunteers in Medicine of the Olympics, phone 360-457-4431 or visit www.vimoclinic.org.
•
Reporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen(c�peninsuladailynews.com.
AmeriCorps volunteers have local impact
AmeriCorps members "7r is ` ' ,r� � w .S t{
P � � a ,a� �� � �Y��S t 4
are working hard to help out � . .� ,;1
with disaster services, eco ¢A .`, rf•x
nomic opportunity, education t _ . i.-x ' ' �._
environmental stewardship, �,� -' ` ¢ _. � x
healthy futures, veterans ""..,-- � -'14,V!-I''''''''''. .4-44''''''''
f 4 ,. F
a .�n4 +4r '
and militaryfamilies.In Port 0':; 4
4 �� 3
Townsend, volunteers. work �. $.� � ., �� � �` ..
at school health clinics and .:,,,:;,%--,x,,,,...4.--,,%• �
at the Port Townsend Marine f• � ' 1 • : ' � ,s`
Science Center. y 7 °y`; R xs
Ryann McChesney k , tel;
addresses healthy futures } }'
by serving in school-based w ;;r 'x
health centers at Port : R
Townsend and Chimacum * 'Ilk,:
r .:fi , ,'
high schools. She also has = t s 'It! 4: 1.,...„..4_,..,...,,,,
�:
initiated a high school peel 1 ' -t0`' , ` 7r ji, -4 � r� LL ., .
education program focusing '4(„y a „ ff t``” 2
on health issues,participated € 1 - " � E ,
s
in the' Irondale Beach "Park d �' ` , 41_,)' r , c ,N .
beach cleanup, planted trees , ; ,,, f �r
at Blue Heron Middle School ',..,;:"P:Or -.i. a� < is fi 13 ,r '4 .,
worked with the Boiler Room J 3; ,° �',,x • *,k1 0-01
made soup for community �, .ems, '� ;41 ;+
\..
'; — y
meals,and signed up to coach a ; a .' -
soccer for Jefferson County � -`' _ • x '-
Parks and Recreation. g rx x , 1
"Servingas an AmeriCorps k: }• '" ,' '4; `'""
• member through Jefferson • ." "Ili , ,-i‘t ,,
County Public Health has The Port Townsend Marine Science Center hosts AmeriCorps volunteers,
given me a powerful opportu- including(from left)Emily Neal,citizen science educator;Amber Heasley,
nity to learn, teach and gain marine exhibit educator;Megan Veley,natural history exhibit and volun-
experience in the field of pub- teer program educator; and Danae Presser, marine mammal stranding
lic health," said McChesney, educator.Submitted photo '
a Seattle native with a bach-
elor's degree in neuroscience health care for students with studies from Kenyon College.
from Oberlin College. unmet healthcare needs. Neal collaborates with local
"I have started projects Everybody wins!" volunteers and agencies to col-
and brought new perspectives At the Port Townsend lect and study data about the
that aid the organization, and Marine Science Center, Salish Sea.
they have guided and chal- AmeriCorps volunteers are Danae Presler, with a
lenged me to discover my own involved in all aspects of the bachelor's degree in biology
potential. It is definitely a organization, building impor- and ecology from Minnesota
win-win situation." tant skills and infusing the State University, helps run
"AmeriCorps is a great science center with energy and the East Jefferson County
return on investment for fresh ideas. Marine Mammal Stranding
Jefferson County, the school- Amber Heasley, who Network.
based health center and the hails from Kansas and has a Megan Veley, who came to
individual volunteer," said bachelor's degree in biologi- Port Townsend as a marine
Susan O'Brien, ARNP, of cal sciences from Louisiana education intern,is now a nat-
Jefferson County Public State University, is serving ural history exhibit and volun-
Health. "These bright, ener- as a marine exhibit educa- teer program educator. Veley
getic volunteers bring knowl- tor. Emily Neal, a citizen sci- hails from upstate New York
edge and expertise fresh from ence educator, is originally and has a bachelor's degree
college; they are excellent role from Connecticut and has a in natural resources manage-
models for students; and they bachelor's degree in math- ment and policy from Paul
• help increase the access to ematics and environmental Smith's College.
p / .1 (/
-V/e//3